Modern Aspects in the Gastro Esophageal Reflux of Children

GERD raises respiratory symptoms and the treatment of anti- GERD improve these symptoms and improve pulmonary function, sometimes GERD silent clinically which makes us unaware of the role of GERD in pathogenesis of respiratory infections which leading to increased incidence of respiratory symptoms in patients with GERD and for this reason we must search for GERD in chronic respiratory infections not responding to treatment. To determine the prevalence of clinical symptoms associated with GERD in children and to define the role of treatment of anti-GERD in the management of respiratory symptoms in children.

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.