The importance of measurement acidity of the esophagus in children with recurrent respiratory diseases

The study aimed to demonstrate the importance of applying PH- METRY test in the diagnosis of gastroesophageal reflux disease(GERD) of children with recurrent respiratory diseases, to determine the most common digestive and other clinical symptoms(respiratory) associated with GERD in the study . Thirty children with recurrent respiratory disease aged between two months and 11 years, were included in this study whom applied pH-Metry monitoring. GERD was found in 83.33% of children with recurrent respiratory disease, most patients(63.33%) were less than 3 years with the highest ratio of GERD( 89.4%). The cough was the most common of respiratory symptoms (90%). The prevalence rate of GERD between consenting patients was( 92%) .Night respiratory symptoms were found in (67%) of children. The prevalence rate of GERD between consenting patients was(68%) . Statistically significant relationship found between regurgitated vomiting and the presence of GERD (P = 0,043),and between the night digestive symptoms and GERD(P=0.009)

Role of Multichannel Intraluminal Impedance( MII) and Ph Monitoring at the Same Time in Diagnosis of Gastro Esophageal Reflux Disease iIn Infants and Children Less Than 2 Years

Recent studies has proved that high proportion of reflux episodes in Gastro Esophageal Reflux Disease(GERD) were non acidic ,and could not be detected by classic pH metry alone, especially less than 2 years, in whom nutrition is mainly depending on milk .It was too necessarily to improve a new technique (Multichannel Intraluminal Impedance MII) ,and by this any retrograde flow to the esophagus can be detected . The aim of this study was to determine whether pH-monitoring alone is sufficient to diagnose the Gastro Esophageal Reflux Disease (GERD),and how much the diagnosis was improved after Multichannel Intraluminal Impedance (MII) has been added to the standard pH catheter in children less than 2 years.

24 Hours Esophageal PH Monitoring &Endoscopic Reflux Esophagitis in infants and children

Reflux Esophagitis was diagnosed in 50 % of Acidic Gastro Esophageal Reflux Disease cases only. This study aimed to detect the association between Endoscopic Reflux Esophagitis and acidic Gastroesophageal Reflux disease.