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ORIGINAL ARTICLE
Year : 2016  |  Volume : 1  |  Issue : 2  |  Page : 6-9

pH-metryin children: Moroccan experience


EFD-Hepatogastroenterology unit, Hospital Ibn Sina, Souissi, 10000 RABAT, Morocco

Correspondence Address:
Delsa Hanane
EFD-Hepatogastroenterology unit, Hospital Ibn Sina, Souissi, 10000 RABAT
Morocco
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Source of Support: None, Conflict of Interest: None


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Ambulatory pH-metry has long been one of the main diagnostic tools used for the diagnosis of gastroesophageal reflux disease (GERD) in adults and is also increasingly used in children. The aim of this study is to describe the clinical data of children, the indications and results of pH-metry in a Moroccan unit. Methods: Over five years, 78 children underwent pH-metry in our unit. We analyzed their clinical data and their examination results. Results: 78 children underwent pH-metry were included. 48,7% are boys and 51,3% are girls. The mean age is 8.2 years (2-17 years).53 pH-metry (78,2%) were realized in children with respiratory symptoms. Other indications are represented by assessment of GERD in 8 patients, vomiting in 4 patients and ear-nose-throat symptoms in 3 patients. The mean recording time was 23 hours. 28patients (35,9%) were diagnosed with GERD and 49 patients (62,8%) had a normal pH-metry. For patients with GERD, the mean time with reflux was 156,7minutes and average EAO was 9,1%. It was noted a diurnal and nocturnal GERD in 10 cases (35,7%), a diurnal GERD in 10 cases (35,7%) and a nocturnal GERD in 8 cases (28,6%). The respiratory symptoms were the main indication of pH-metry represented in 61 children (78,2%). 34,4% had a pathological GERD with a mean De Meester index of 37,3. Conclusion: Ambulatory esophageal pH monitoring is the “gold standard” for diagnosis of acid GERD. In our series, pH-metry assess the diagnosis of pathological GERD in a third of children with respiratory symptoms.


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