title: [Value of pH-metric examination in diagnosing gastroesophageal reflux in children and youth with typical and atypical clinical symptoms of gastroesophageal reflux disease].
abstract: OBJECTIVE
  The aim of work was an estimation of pH-metric examination in diagnosing of gastroesophageal reflux in children with typical and atypical symptoms of the gastroesophageal reflux disease.
  
  
  METHODS
  121 children were analysed with suspected to gastroesophageal reflux disease. Depending on reported ailments they were divided into 2 groups. Group I patients with typical symptoms of gastroesophageal reflux disease were including: heartburn, rebounding; while the second group consisted of those with atypical symptoms: nausea, vomiting, chest pain, abdominal pain. 24-hour pH-metric examination was performed in each patient.
  
  
  RESULTS
  On the basis of pH-metric examination gastroesophageal reflux was diagnosed in 85.2% patients from I group and 44.8% patients from group II.
  
  
  CONCLUSIONS
  The most important examination determining diagnosis of gastroesophageal reflux in children with both typical and atypical symptoms of this illness should be pH-metric examination of the esophagus. In children with atypical symptoms in consideration of differential diagnosis we should take into account a possibility of gastroesophageal reflux.
authors.affiliation: Katedra i Klinika Pediatrii, Alergologii i Gastroenterologii AM im. Ludwika Rydygiera w Bydgoszczy.
authors.forename: Stanisław
authors.initials: S
authors.lastname: Zawadzki
authors.forename: Mieczysława
authors.initials: M
authors.lastname: Czerwionka-Szaflarska
authors.forename: Izabela
authors.initials: I
authors.lastname: Zielińska
authors.forename: Grazyna
authors.initials: G
authors.lastname: Mierzwa
authors.forename: Grazyna
authors.initials: G
authors.lastname: Bała
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004947:Esophagus / Q000378:metabolism*; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis* / Q000378:metabolism*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008297:Male; D011044:Poland; D011237:Predictive Value of Tests; D012720:Severity of Illness Index