Cervantes-Bustamante R, Bacarreza-Nogales D, Menéndez-Sandoval F, Montijo-Barrios E, Ramírez-Mayans J

Language: Spanish
References: 16
Page: 101-103
PDF size: 130.67 Kb.

ABSTRACT

Introduction. Esophageal varices are present in 80 to 97% of the children with portal hypertension. Studies in adult patients suggest that varices may be responsible for acid clearance and esophageal motility changes, which could cause gastroesophageal reflux disease (GERD).
Aim. To ascertain the presence of GERD in children with esophageal varices.
Design. Prospective, transverse, comparative and observational study.
Setting and date. Department of Gastroenterology and Nutrition, Instituto Nacional de Pediatría (INP) from July 2003 to December 2005.
Method. 50 patients 1 to 18 years old were studied. An upper endoscopy was done in all; and according to the findings they were classified in two groups. Group I had esophageal varices, Group II, patients with chronic liver disease but without esophageal varices. A 24 hour intraesophageal pH monitoring test was done using Boley’s criteria for pathological GERD. Fisher’s test was used.
Results. Group I, 12 children had pathological GERD and only 5 patients in Group II had this problem.
Discussion. Patients with esophageal varices had a higher incidence of pathological GERD; however there were no statistical differences between both groups

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