[Role of interview in diagnosis of gastroesophageal reflux in children].
OBJECTIVE
Of the study was to establish the most frequent clinical symptoms of gastroesophageal reflux (GER) disease in children.


METHODS
214 children aged from 4 months to 15 years with symptoms suggested GER. The medical documentation of children was analyzed with regard to results of clinical symptoms and 24-hour pH-monitoring.


RESULTS
The most frequent symptom in newborn was spitting, in children aged 1-3 was vomiting, in children aged 4-15 was stomach pain. Amongst children to 3 years recurrent bronchitis was frequent co-existent disease, in older children duodenitis or/and gastritis. Based on positive result of 24-hour pH-monitoring gastroesophageal disease was diagnosed in 184 (86%) patients. Preliminary diagnosis of GER based on the medical interview with high percentage of positive results of 24-hour pH-monitoring. The introduced results prove the medical interview to be still significant part of GER diagnosis.
Sakson
Agnieszka
A
Katedra i Klinika Pediatrii, Alergologii i Gastroenterologii Akademii Medycznej w Bydgoszczy.
Czerwionka-Szaflarska
Mieczysława
M
Jakubczyk
Marlena
M
Bak
Agnieszka
A
Jeznach-Machalska
Magdalena
M
Gryl
Robert
R
D000293:Adolescent; D001991:Bronchitis / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004382:Duodenitis / Q000209:etiology; D005745:Gastric Acidity Determination; D005756:Gastritis / Q000209:etiology; D005764:Gastroesophageal Reflux / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007223:Infant; D008297:Male; D008487:Medical History Taking; D008991:Monitoring, Physiologic; D010146:Pain / Q000209:etiology; D014839:Vomiting / Q000209:etiology