[24-hour esophageal pH-metry in the evaluation of gastroesophageal reflux pathology].
Gastro-esophageal reflux (GER) in infants was studied using 24-hour esophageal pH monitoring. Gastro-esophageal reflux was detected in 32/41 subjects. In our patients the main symptoms were vomiting, regurgitation, failure-to-thrive, chronic respiratory problems such as asthma, apnea, recurrent pneumonia. All patients with GER were treated appropriately with prone positioning and medical therapy (prokinetic agent and, eventually, ranitidine). Successful treatment of the reflux was obtained in all patients. In our opinion the 24-hour intraesophageal pH monitoring is a highly diagnostic test to identify the presence of GER and evaluate its gravity.
Accorsini
M
M
Istituto di Clinica Pediatrica, Università degli Studi di Pisa.
Averbene
C
C
Caiulo
V A
VA
Ughi
C
C
Ceccarelli
M
M
D000932:Antiemetics / Q000627:therapeutic use; D001549:Benzamides / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D020117:Cisapride; D004947:Esophagus / Q000503:physiopathology*; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008991:Monitoring, Physiologic; D010880:Piperidines / Q000627:therapeutic use; D011187:Posture; D012702:Serotonin Antagonists / Q000627:therapeutic use; D013997:Time Factors
D000932:Antiemetics; D001549:Benzamides; D010880:Piperidines; D012702:Serotonin Antagonists; C014417:clebopride; D020117:Cisapride
La pH-metria esofagea delle 24 ore nella valutazione della patologia da reflusso gastroesofageo.