Results of Multichannel Intraluminal Impedance pH Metry in Symptomathic Children with Normal pH Metry Findings

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dc.contributor.authorSoyer, Tutku
dc.contributor.authorGulerman, Fulya
dc.contributor.authorBoybeyi, Ozlem
dc.contributor.authorAslan, Mustafa
dc.contributor.authorGunal, Yasemin
dc.date.accessioned2020-06-25T18:07:58Z
dc.date.available2020-06-25T18:07:58Z
dc.date.issued2014
dc.departmentKırıkkale Üniversitesi
dc.descriptionSoyer, Tutku/0000-0003-1505-6042
dc.description.abstractAimA retrospective study was performed to evaluate the results of multichannel intraluminal impedance (MII) pH metry in symptomatic children with normal pH monitoring (PM) findings. Patients and MethodsChildren who have reflux index (RI) less than 4% in PM and recurrent symptoms were included. All children underwent MII. Children who received antireflux treatment with normal PM findings were excluded from the study. MII results were evaluated for RI, content of reflux (acid, weak acid, and alkaline) number and type of impedance events, esophageal bolus clearance time and proximal extent of reflux (PER). ResultsEight patients (age range: 5-13 years) were included to the study. The male female ratio was 5:3. The recurrent symptoms were related with gastrointestinal (n=5) and upper respiratory system (n=3). One of the patients was operated for esophageal atresia and one was followed for corrosive esophageal disease. Four of the patients had RI higher than 4% in MII. Patients with normal RI in MII, had weak acid reflux (n: 1), alkaline reflux (n=1) and no reflux (n=2). When number of impedance events evaluated, four patients had abnormal reflux episodes (70 or more reflux episodes). Impedance event recordings were correlated in 75% of PM findings. The content of impedance events were mixed and gas in nature. Prolonged esophageal clearance time and PER were detected in patients with chest pain and operated esophageal atresia. ConclusionMII can be considered as a superior diagnostic tool to detect weak acid and alkaline reflux in patients who had recurrent symptoms with normal PM studies. MII also provides information about bolus clearance time and extent of reflux.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1055/s-0033-1354582
dc.identifier.endpage517en_US
dc.identifier.issn0939-7248
dc.identifier.issn1439-359X
dc.identifier.issue6en_US
dc.identifier.pmid24000129
dc.identifier.scopus2-s2.0-84883141494
dc.identifier.scopusqualityQ1
dc.identifier.startpage514en_US
dc.identifier.urihttps://doi.org/10.1055/s-0033-1354582
dc.identifier.urihttps://hdl.handle.net/20.500.12587/5700
dc.identifier.volume24en_US
dc.identifier.wosWOS:000346905500013
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofEuropean Journal Of Pediatric Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectimpedance pH metryen_US
dc.subjectgastroesophageal refluxen_US
dc.subject24-hour pH monitoringen_US
dc.titleResults of Multichannel Intraluminal Impedance pH Metry in Symptomathic Children with Normal pH Metry Findingsen_US
dc.typeArticle

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