Does postoperative pH monitoring predict complicated gastroesophageal reflux in patients with esophageal atresia?

Pediatric Surgery International
A KoivusaloHarry Lindahl

Abstract

Gastroesophageal reflux (GER) is common after repair of esophageal atresia with a distal tracheoesophageal fistula (EATOF). In a retrospective study we assessed whether early 18-h pH monitoring can predict the development of EATOF-associated gastroesophageal reflux. During 1980-1997, 90 consecutive patients had primary repair for EATOF. Development of GER was classified as favorable if the patient developed no esophagitis or mild esophagitis and needed no antireflux medication, and as unfavorable if the patient developed moderate or secondary esophagitis or required an antireflux procedure. Patients who developed unfavorable GER outcome before pH monitoring or needed secondary reconstruction or those whose endoscopic follow-up data were insufficient were excluded. Eighteen-hour pH monitoring was considered pathologic if esophageal pH was <4 more than 10% of the recorded time or 5% of the recorded time minus 2 h after each meal, or if there were more than three preprandial reflux periods lasting longer than 5 min. A total of fifty patients were included into the study. pH monitoring was performed at the median age of 9.2 (range 2.5-95.0) months and classified as pathologic in 10 and normal in 40 patients. After a median follow-u...Continue Reading

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Citations

Dec 10, 2013·Journal of Pediatric Surgery·Rikke Neess PedersenSteffen Husby
Jan 12, 2016·Paediatric Respiratory Reviews·Madeleine GottrandFrédéric Gottrand
Feb 4, 2010·The Journal of Pediatrics·Julie CastillouxChristophe Faure
Dec 24, 2008·Seminars in Pediatric Surgery·R J RintalaM P Pakarinen
Apr 4, 2006·The Surgical Clinics of North America·Bindi Naik-Mathuria, Oluyinka O Olutoye
Nov 28, 2017·Current Gastroenterology Reports·Hayat MousaChristophe Faure
Aug 22, 2020·World Journal of Gastroenterology : WJG·Settachote MaholarnkijPalittiya Sintusek

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