Zawadzki Stanisław, Czerwionka-Szaflarska Mieczysława, Zielińska Izabela, Mierzwa Grazyna, Bała Grazyna
Katedra i Klinika Pediatrii, Alergologii i Gastroenterologii AM im. Ludwika Rydygiera w Bydgoszczy.
Pol Merkur Lekarski. 2002 Aug;13(74):116-8.
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.
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.
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.
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.
