Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego · 2004
[Role of interview in diagnosis of gastroesophageal reflux in children].
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Sakson Agnieszka, Czerwionka-Szaflarska Mieczysława, Jakubczyk Marlena, Bak Agnieszka, Jeznach-Machalska Magdalena, Gryl Robert
Аннотация
THE AIM: Of the study was to establish the most frequent clinical symptoms of gastroesophageal reflux (GER) disease in children.
MATERIAL AND METHODS: 214 children aged from 4 months to 15 years with symptoms suggested GER. The medical documentation of children was analyzed with regard to results of clinical symptoms and 24-hour pH-monitoring.
RESULTS: The most frequent symptom in newborn was spitting, in children aged 1-3 was vomiting, in children aged 4-15 was stomach pain. Amongst children to 3 years recurrent bronchitis was frequent co-existent disease, in older children duodenitis or/and gastritis. Based on positive result of 24-hour pH-monitoring gastroesophageal disease was diagnosed in 184 (86%) patients. Preliminary diagnosis of GER based on the medical interview with high percentage of positive results of 24-hour pH-monitoring. The introduced results prove the medical interview to be still significant part of GER diagnosis.
MATERIAL AND METHODS: 214 children aged from 4 months to 15 years with symptoms suggested GER. The medical documentation of children was analyzed with regard to results of clinical symptoms and 24-hour pH-monitoring.
RESULTS: The most frequent symptom in newborn was spitting, in children aged 1-3 was vomiting, in children aged 4-15 was stomach pain. Amongst children to 3 years recurrent bronchitis was frequent co-existent disease, in older children duodenitis or/and gastritis. Based on positive result of 24-hour pH-monitoring gastroesophageal disease was diagnosed in 184 (86%) patients. Preliminary diagnosis of GER based on the medical interview with high percentage of positive results of 24-hour pH-monitoring. The introduced results prove the medical interview to be still significant part of GER diagnosis.