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Novel Use of Impedance Technology Shows That Esophageal Air Events Can Be Temporally Associated With Gastroesophageal Reflux Disease-like Symptoms.
Woodley, Frederick W; Ciciora, Steven L; Vaz, Karla; Williams, Kent; Di Lorenzo, Carlo; Jadcherla, Sudarshan.
Afiliación
  • Woodley FW; Center for Motility Disorders.
  • Ciciora SL; Division of Gastroenterology, Hepatology and Nutrition.
  • Vaz K; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH.
  • Williams K; Center for Motility Disorders.
  • Di Lorenzo C; Division of Gastroenterology, Hepatology and Nutrition.
  • Jadcherla S; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH.
J Pediatr Gastroenterol Nutr ; 70(1): e7-e11, 2020 01.
Article en En | MEDLINE | ID: mdl-31880681
A few studies have shown that esophageal air events (EAEs), such as air-swallows, may be associated with symptoms that have historically been associated with gastroesophageal reflux disease (GERD). To objectively test a hypothesis that all EAE types (air-swallows, supragastric belches and gastric belches) can be associated with GERD-like symptoms, we removed the impedance "tags" from the GER episodes (placed during autoscan) and instead tagged either air-swallows, supragastric belches or gastric belches in each of 3 copies of the 24-hour impedance tracing for 2 infant patients who presented with symptoms suggestive of GER as an etiology. Impedance system software (MMS) analyses revealed that, in both infants, all EAE types were significantly associated (SAP >95%) with 1 or more of the GERD-like symptom types (cough, pain/crying, back-arching, and gagging). These data underscore the importance of considering other diagnoses when developing management strategies for treating GERD-like symptoms in infants.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reflujo Gastroesofágico / Impedancia Eléctrica / Aerofagia / Eructación Tipo de estudio: Diagnostic_studies / Risk_factors_studies Límite: Female / Humans / Infant / Male Idioma: En Revista: J Pediatr Gastroenterol Nutr Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reflujo Gastroesofágico / Impedancia Eléctrica / Aerofagia / Eructación Tipo de estudio: Diagnostic_studies / Risk_factors_studies Límite: Female / Humans / Infant / Male Idioma: En Revista: J Pediatr Gastroenterol Nutr Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos