title: [Comparison between conventional ph measurement and multichannel intraluminal esophageal impedance in children with respiratory disorders].
abstract: BACKGROUND
  Gastroesophageal reflux (GER) is associated with respiratory symptoms. The link between non-acid GER and the pathogenesis of respiratory disease has been demonstrated. Esophageal multichannel intraluminal impedance (MII) is able to detect non-acid and alkaline GER, as well as reflux height. The objective of the study was to compare the diagnostic effectiveness of dual-channel pH-meter and MII.
  
  
  METHODS
  A prospective study was conducted on patients diagnosed with uncontrolled asthma, persistent cough, or chronic laryngitis. Patients were monitored continuously for 24 hours using a combination of MII and a dual-channel pH-meter. A descriptive and comparative analysis of the techniques was performed using the t test for comparison between groups and McNemar test for non-parametric data.
  
  
  RESULTS
  A total of 49 patients with respiratory disease between September 2008 and April 2010 (79.6% uncontrolled asthma, 10.2% persistent cough, and 10.2% chronic laryngitis) were included in the study. The mean number of refluxes detected was 18.3 (range 0-93) using the pH-meter and 39.2 (11-119) using MII (P<.001). Acid GER was detected using pH in 7 children and using MII in 25 children (8 acid, 10 alkaline and 7 mixed). A mean of 21 proximal refluxes were detected using MII.
  
  
  CONCLUSIONS
  MII makes it possible to diagnose a greater number of refluxes, whether acid or alkaline, than conventional pH measurement in children with respiratory disease that is poorly controlled with their usual treatment. MII can also detect proximal refluxes.
authors: Sección de Gastroenterología y Nutrición Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, España. marth81@gmail.com
authors: M
authors: M
authors: Tolín Hernani
authors: M
authors: M
authors: Crespo Medina
authors: V
authors: V
authors: Luengo Herrero
authors: C
authors: C
authors: Martínez López
authors: A
authors: A
authors: Salcedo Posadas
authors: G
authors: G
authors: Alvarez Calatayud
authors: J L
authors: JL
authors: Morales Pérez
authors: C
authors: C
authors: Sánchez Sánchez
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000150:complications / Q000378:metabolism / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003371:Cough / Q000150:complications / Q000378:metabolism / Q000503:physiopathology; D017097:Electric Impedance; D050782:Esophageal pH Monitoring; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007827:Laryngitis / Q000150:complications / Q000378:metabolism / Q000503:physiopathology; D008297:Male; D011446:Prospective Studies