Department of Pediatric Gastroenterology, Cukurova University School of Medicine, Adana, Turkey -
Department of Ear Nose and Throat, Ege University School of Medicine, Izmir, Turkey.
Minerva Pediatr (Torino). 2021 Jun;73(3):256-262. doi: 10.23736/S2724-5276.17.04354-7.
Our aim is to determine the incidence of reflux in children older than 3 years requiring adenotonsillectomy and relationship between GER and diagnostic tests.
Forty-four patients, who were listed for adenoidectomy/tonsillectomy at Pediatric Ear Nose Throat department due to severe hypertrophy, were evaluated for accompanying GER (Group 1). GER was diagnosed as having at least one positive GER test result (including esophagitis or pH monitoring). Twenty children without reflux symptoms were used as healthy control group (Group 2) and LPR was held.
Reflux was detected in 32 children requiring adenotonsillectomy (72.7%). LPR score was negative in all patients in Group 2. There was no correlation between pH monitoring and histopathological evaluation of esophagus. There was a correlation between the LPR score and histological esophagitis in the proximal esophagus.
GER was high in patients with adenotonsillary hypertrophy. LPR score and the history of patients are as effective as invasive techniques like pH monitorization and endoscopy in determining GER disease.
我们的目的是确定需要腺样体扁桃体切除术的 3 岁以上儿童反流的发生率以及 GER 和诊断测试之间的关系。
44 例因严重肥大而在儿科耳鼻喉科接受腺样体切除术/扁桃体切除术的患者（组 1）进行了伴随 GER 的评估。GER 被诊断为至少有一个阳性 GER 测试结果（包括食管炎或 pH 监测）。20 名无反流症状的儿童作为健康对照组（组 2）并进行 LPR 检测。
需要腺样体扁桃体切除术的 32 名儿童（72.7%）中检测到反流。组 2 中所有患者的 LPR 评分均为阴性。pH 监测与食管组织病理学评估之间无相关性。LPR 评分与近端食管的组织性食管炎之间存在相关性。
腺样体扁桃体肥大患者 GER 较高。LPR 评分和患者病史与 pH 监测和内窥镜等侵入性技术一样，可有效确定 GER 疾病。
