Sonography versus continuous 24 hours oesophageal pH-monitoring in the diagnosis of infant gastroesophageal reflux.
Forty infants with suspected gastroesophageal reflux (GOR) underwent continuous 24 hour esophageal pH-metry and sonography of the gastroesophageal junction. In 29 out of 40 cases (72.5%) GOR was confirmed by the 24 hour pH-monitoring, because of a percentage of total time of reflux of 10% or more. The positive and negative predictive value of sonography versus the result of continuous 24 hour pH-monitoring was 80% and 50% respectively. Sonography cannot be considered a faithful diagnostic tool in screening for GOR in infants.
Milocco
C
C
Istituto di Clinica Pediatrica, I.R.C.C.S. Burlo Garofolo di Trieste, Italia.
Salvatore
C M
CM
Torre
G
G
Guastalla
P
P
Ventura
A
A
D000137:Acid-Base Imbalance / Q000503:physiopathology*; D003937:Diagnosis, Differential; D004943:Esophagogastric Junction / Q000000981:diagnostic imaging*; D004947:Esophagus / Q000503:physiopathology*; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012680:Sensitivity and Specificity; D014463:Ultrasonography