Improvement of gastroesophageal reflux disease diagnostics in pediatrics

The aim of review. To present data of the foreign clinical studies devoted to optimization of diagnostics of gastroesophageal reflux disease (GERD) in children.Key points. GERD is a frequent issue in pediatrics, its manifestations are difficult to reveal sometimes. In most of the cases gastroesophag...

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Main Authors: S. I. Erdes, A. R. Polischuk
Format: Article
Language:Russian
Published: Gastro LLC 2014-10-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1123
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author S. I. Erdes
A. R. Polischuk
author_facet S. I. Erdes
A. R. Polischuk
author_sort S. I. Erdes
collection DOAJ
description The aim of review. To present data of the foreign clinical studies devoted to optimization of diagnostics of gastroesophageal reflux disease (GERD) in children.Key points. GERD is a frequent issue in pediatrics, its manifestations are difficult to reveal sometimes. In most of the cases gastroesophageal reflux (GER) is physiological, especially postprandially and can be detected in every child. Many episodes of refluxes proceed asymptomatically, however in some children GER is related to various serious symptoms and damage of esophageal mucosa because protective mechanisms are insufficiently developed in the young age. Therefore additional investigations are required to differentiate esophageal and extraesophageal manifestations of GERD. Multichannel intraluminal impedance — pH-metry is one of the modern diagnostic methods. It is very sensitive, allowing to reveal non-acidic, weakly acidic refluxes, as well as the height of refluxate spread.Conclusion. Multichannel intraluminal impedance measurement in comparison with intraesophageal pH-metry has wider diagnostic potentials as allows to determine episodes of acidic, non-acidic and alkaline refluxes.
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spelling doaj-art-4f70781e150540dfb8a6c6629931c5e12025-02-10T16:14:39ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732014-10-01244411723Improvement of gastroesophageal reflux disease diagnostics in pediatricsS. I. Erdes0A. R. Polischuk1State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university», Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university», Ministry of Healthcare of the Russian FederationThe aim of review. To present data of the foreign clinical studies devoted to optimization of diagnostics of gastroesophageal reflux disease (GERD) in children.Key points. GERD is a frequent issue in pediatrics, its manifestations are difficult to reveal sometimes. In most of the cases gastroesophageal reflux (GER) is physiological, especially postprandially and can be detected in every child. Many episodes of refluxes proceed asymptomatically, however in some children GER is related to various serious symptoms and damage of esophageal mucosa because protective mechanisms are insufficiently developed in the young age. Therefore additional investigations are required to differentiate esophageal and extraesophageal manifestations of GERD. Multichannel intraluminal impedance — pH-metry is one of the modern diagnostic methods. It is very sensitive, allowing to reveal non-acidic, weakly acidic refluxes, as well as the height of refluxate spread.Conclusion. Multichannel intraluminal impedance measurement in comparison with intraesophageal pH-metry has wider diagnostic potentials as allows to determine episodes of acidic, non-acidic and alkaline refluxes.https://www.gastro-j.ru/jour/article/view/1123gastroesophageal reflux diseasechildrenph-impedance measurement of the esophagusdiagnostics
spellingShingle S. I. Erdes
A. R. Polischuk
Improvement of gastroesophageal reflux disease diagnostics in pediatrics
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
gastroesophageal reflux disease
children
ph-impedance measurement of the esophagus
diagnostics
title Improvement of gastroesophageal reflux disease diagnostics in pediatrics
title_full Improvement of gastroesophageal reflux disease diagnostics in pediatrics
title_fullStr Improvement of gastroesophageal reflux disease diagnostics in pediatrics
title_full_unstemmed Improvement of gastroesophageal reflux disease diagnostics in pediatrics
title_short Improvement of gastroesophageal reflux disease diagnostics in pediatrics
title_sort improvement of gastroesophageal reflux disease diagnostics in pediatrics
topic gastroesophageal reflux disease
children
ph-impedance measurement of the esophagus
diagnostics
url https://www.gastro-j.ru/jour/article/view/1123
work_keys_str_mv AT sierdes improvementofgastroesophagealrefluxdiseasediagnosticsinpediatrics
AT arpolischuk improvementofgastroesophagealrefluxdiseasediagnosticsinpediatrics