Asemptomatik çocuklarda özefagusun 24 saatlik PH monitorizasyonu
Küçük Resim Yok
Tarih
2002
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Gastroözefajiyal reflü (GÖR), pediatri pratiğinde, özellikle süt çocuklarında iyi bilinen bir klinik tablodur. Mide içeriğinin özefagusa spontan reflüsü yaşam boyu tüm çocuklarda, özellikle postprandiyal süreçte görülen fizyolojik bir durumdur. Bu nedenle, patolojik reflülerin "normal" veya fizyolojik reflülerden ayırımı her merkezin kendi standartlarını belirlemesi ile olasıdır. Bu amaçla yaş ortalaması 6.3 yıl (dağılım 0-16 yaş) olan 38 asemptomatik çocukta 24 saatlik özefagus pH monitorizasyonu çalışıldı. Reflü indeksi (Rl) 3.61±0.44, 24 saatlik toplam reflü sayısı 81.32+10.17, beş dakikadan uzun reflü sayısı 1.66+0.33, en uzun reflü süresi (dk) 7.21 ±0.98, pH 4 altı alan (pH'min) 42.92+5.58 bulundu. Bir yaşından küçük ve daha büyük çocukların verileri arasında istatistiksel olarak anlamlı bir fark saptanmadı. GÖR tanısında en anlamlı kriterin Rİ olduğu görüldü. Asemptomatik çocuklarımızın 24 saatlik toplam reflü sayısı Avrupa kökenli diğer çalışmalara gore belirgin yüksekken, diğer parametreler benzer bulundu.
In pediatric practice gastroesophageal reflux (GER) is a well known clinical problem in children, especially in infants. This spontaneous reflux of gastric contents into the esophagus occurs repeatedly during life in all normal children, especially in postprandial time. In terms of differentiation of the patients with pathological GER from those with "normal" or physiological reflux, it is important that each center should establish its own standards in this respect. The aim of this study was to investigate intra-esophageal pH values of 38 asymptomatic children. Their mean age was 6.3 years (range 0-16 years). Reflux index (Rl) 3.61±0.44, number of reflux episodes 81.32+10.17, number of reflux episodes longer than 5 minutes 1.66+0.33, duration of the longest reflux episode (min) 7.21 ±0.98, area under pH curve (pH'min) 42.92+5.58 has been found. There was no statistically significant differentiation between the groups below and above 1 year of age. It can be concluded that in this study the Rl has been found the most valuable parameter for the evaluation of patients with GER. And reflux episodes of our asymptomatic children were found very high in contrast to the other european studies, but the other parameters were similar.
In pediatric practice gastroesophageal reflux (GER) is a well known clinical problem in children, especially in infants. This spontaneous reflux of gastric contents into the esophagus occurs repeatedly during life in all normal children, especially in postprandial time. In terms of differentiation of the patients with pathological GER from those with "normal" or physiological reflux, it is important that each center should establish its own standards in this respect. The aim of this study was to investigate intra-esophageal pH values of 38 asymptomatic children. Their mean age was 6.3 years (range 0-16 years). Reflux index (Rl) 3.61±0.44, number of reflux episodes 81.32+10.17, number of reflux episodes longer than 5 minutes 1.66+0.33, duration of the longest reflux episode (min) 7.21 ±0.98, area under pH curve (pH'min) 42.92+5.58 has been found. There was no statistically significant differentiation between the groups below and above 1 year of age. It can be concluded that in this study the Rl has been found the most valuable parameter for the evaluation of patients with GER. And reflux episodes of our asymptomatic children were found very high in contrast to the other european studies, but the other parameters were similar.
Açıklama
Anahtar Kelimeler
Pediatri
Kaynak
Ege Pediatri Bülteni
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
3
