2015, Number 1
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Acta Pediatr Mex 2015; 36 (1)
Esophageal impedance monitoring for the diagnosis of gastroesophageal reflux disease in children
Toro-Monjaraz EM, Gómez-Morales E, Cervantes-Bustamante R, Ramírez-Mayans J, Zárate-Mondragón F, Montijo-Barrios E, Cadena-León JF, Cazares-Méndez M, López-Ugalde M
Language: Spanish
References: 23
Page: 43-49
PDF size: 709.75 Kb.
ABSTRACT
Gastroesophageal reflux is defined as the presence of gastric content
towards the esophagus, and the gastroesophageal reflux disease is
when it manifests with signs and symptoms. pH monitoring remains
the primary diagnostic tool for detecting gastroesophageal reflux,
but new technology has been developed to support this diagnose.
The impedance-pH monitoring is based in the changes of the electric
impedance at the gastrointestinal lumen given by the passing of the
bolus (air, food, saliva, gastroduodenal content). With this study, we can
evaluate the movement pattern antegrade or retrograde, bolus presence
time, direction and velocity of bolus movement within the esophagus
and detect any acid or non acid event. The objective of this revision is
to evaluate this method in children, technique, indications and benefits
of the impedance-pH monitoring.
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