Gastroesophageal Scintigraphy

Fernandez, F. Gonzalez; Martín, Federico Argüelles; Quesada, B. Rodriguez De; Hachero, J. González; Puerta, Ana; Gentles, M.

doi:10.1097/00005176-198703000-00009

Cited by 16 publications

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Extraesophageal Reflux in Pediatric Patients With Upper Respiratory Symptoms

Rosbe

Kenna

Auerbach

2003

Arch Otolaryngol Head Neck Surg

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Evidence seems to support the hypothesis that reflux is associated with upper airway symptoms in children. However, the strength of this correlation and the risk of upper airway symptoms attributable to reflux are difficult to determine given the limitations of available literature. Future research studies should seek standard reflux testing methods, clear comparison groups, and more rigorous statistical methods.

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Extraesophageal Reflux in Pediatric Patients With Upper Respiratory Symptoms

Rosbe

Kenna

Auerbach

2003

Arch Otolaryngol Head Neck Surg

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Ultrasound diagnosis of gastroesophageal reflux and hiatal hernia in infants and young children

Westra

Wolf

Staalman

1990

J of Clinical Ultrasound

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In 30 young children suspected of gastroesophageal reflux (GER), the G-E junction was examined with ultrasonography directly after a feeding while these children were on overnight extended esophageal pH monitoring (EEpHM) (32 simultaneous ultrasound/EEpHM studies). The two tests showed 81% to 84% agreement in the detection of the presence or absence of GER, depending on whether the whole period of EEpHM or only the part of it covering the ultrasound observation period were used as the standard. The discrepancies between the two tests were explained by the much longer monitoring period of EEpHM compared to ultrasonography and the inability of EEpHM to show reflux of neutralized gastric contents directly after milk feedings. The two studies probably measure different aspects of clinically significant reflux and must be correlated with the clinical symptoms. Morphological findings associated with significant reflux were (1) a short intra-abdominal part of the esophagus, (2) a rounded gastroesophageal angle, and (3) a "beak" at the gastroesophageal junction. Barium meal findings confirmed these sonographic signs, indicating a sliding hiatal hernia of the distal esophagus, either fixed or intermittent. Ultrasonography can be recommended as a useful and physiological screening test to demonstrate clinically significant GER and a predisposing hiatal hernia of the esophagus in symptomatic children.

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Bronchial Asthma and GER

Allegra

1999

Pneumological Aspects of Gastroesophageal Reflux

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Gastroesophageal Scintigraphy

Cited by 16 publications

References 0 publications

Extraesophageal Reflux in Pediatric Patients With Upper Respiratory Symptoms

Extraesophageal Reflux in Pediatric Patients With Upper Respiratory Symptoms

Ultrasound diagnosis of gastroesophageal reflux and hiatal hernia in infants and young children

Bronchial Asthma and GER

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