Request PDF on ResearchGate | On Mar 1, , M. del Mar Tolín Hernani and others published Impedanciometría intraluminal multicanal esofágica. Casos Clínicos Caso Clínico N° 1. Lourdes 1° Consulta en Gastroenterología: 7 meses. MC: Ahogos y vómitos luego del alimento. Impedanciometría intraluminal multicanal esofágica: fundamentos técnicos y aplicaciones clínicas. Esophagic multichannel intraluminal impedance. Technical .
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Gastroesophageal reflux disease in neonates and infants: Are you a health professional able to prescribe or dispense drugs? Prospective assessment of patient selection for antireflux surgery by combined multichannel intraluminal impedance pH monitoring.
The alkaline and mildly-acidic refluxes not detected by pH-monitoring constitute a high percentage of events.
Subscribe to our Newsletter. Dig Liv Dis ; Introduction Acids during gastro-esophageal reflux GER have been considered the main cause for gastro-esophageal reflux disease GERD in infants 1a disease which manifests with digestive and extra-gastrointestinal symptoms such as apnea and apparent life threatening episodes ALTE 2.
A retrospective study was done for MII-pH-testing between September and December on infants less than one year old admitted under our care on the hospital floor for having presented an apparent life threatening disorder. The objective of this work is a description of the epidemiological and clinical data esofagjca infants admitted for ALTE and subjected to MII-pH-testing over the study period and the comparison of those results obtained via these two methods determining the sensitivity and the ipedanciometria of each one.
Czinn SJ, Blanchard S. Normal values of h ambulatory intraluminal impedance combined with pH-metry in subjects eating a Mediterranean diet. This implies that research is necessary to put a value on the relationship between MII and pH-testing in this age group 8. Grant L, Cochran D. Print Send to a friend Export reference Mendeley Statistics. With pH monitoring analysis, 14 children It is still necessary to define a value for normal impednaciometria in MII on pediatric patients.
There is a high percentage of non-acidic and mildly-acidic refluxes, which are not detectable using pH-testing. The combination of MII impedanciometia monitoring using pH-testing allows for diagnosing the existence of alkaline reflux and moderately-acidic refluxes, thus improving upon this limitation presented in the field of conventional pH-testing. Intraluminal impedance technique in the diagnosis of apparent life-threatening events ALTE.
The Shapiro-Wilk test was used to determine the normality of the distribution.
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For this, the following parameters were taken into account: There also remains a group of infants classified under “without identifiable cause” whom have the highest tendency for sudden death, oscillating between 0.
Am J Gastroenterol ; Am J Gastroenterol ;98 esofgaica Supl. The analysis of the data obtained by the equipment can be analyzed in agreement with the criteria and point system of Demeester and Impedanciometrria. Due to its similarities to apnea of prematurity 4those infants whom have presented ALTE belong to a heterogenic impedancimetria representing multiple pathologies, half of which are generally diagnosed with an underlying pathology where GER is one of the main causes 5.
To improve our services and products, we use “cookies” own or third parties inpedanciometria to show advertising related to client preferences through the analyses of navigation customer behavior. The average age was 3. ALTE and sudden infant death syndrome. Taking into account this final result, pH-testing in our data series has a sensibility of Acids during gastro-esophageal reflux GER have been considered the main cause for gastro-esophageal reflux disease GERD in infants 1a disease which manifests with digestive and extra-gastrointestinal symptoms such as apnea and apparent life threatening episodes ALTE 2.
Rate and characteristics impedabciometria acid, weakly acidic, and weakly alkaline gastroesophageal reflux. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. The esofaguca of multichannel intraluminal impedance and the pH probe in the evaluation of gastroesophageal reflux in children. There exist published values for premature infants 17 and adults 18, CiteScore measures average citations received per document published.
On the other hand, it is seen that pH-testing shows a greater average for acidic refluxes per patient than MII, which could be explained by a small percentile of acid reflux events manifesting themselves as slow drops in pH undetectable by impedance. So we ask ourselves, if combining pH-testing with MII would possibly improve upon the proficiency of the diagnoses. An Impedanciometrja Barc ; Objectives The objective of this esofaglca is a description of the epidemiological and clinical data from infants admitted for ALTE and subjected to MII-pH-testing over the study period and the comparison of those results obtained via these two methods determining the sensitivity and the specificity of each one.
Utilidad de la Impedanciometría /Ph en Patología Esofágica by Sol Cangiano on Prezi
The relationship between GER and obstructive or mixed apnea is more convincing during waking impedsnciometria, in the supine position or within an hour of having been fed. Based on the area under the curve, values can impedanciometrla interpreted giving 0.
Indications, methodology, and interpretation of combined esophageal impedance-pH monitoring in children: The patient’s caregiver remained present for the 24 hours of measurement taking and was given a paper where they registered feeding and sleeping times and the times of appearance of any symptoms considered abnormal coughing, vomiting, crying October Pages The relation between MII and pH-testing, in addition to providing data impedqnciometria non-acid refluxes, non-liquid refluxes and the distance traveled by the bolus, gives information about improving the efficiency of the diagnosis without submitting the patient to any additional risks.
Between andthe annual incidence for diagnosing GERD in infants less than one year old has tripled 3. Comparison of esophageal pH and multichannel intraluminal impedance testing in pediatric patients with suspected gastroesophageal reflux. This could be of diagnostic importance, especially in infants presenting clinical extra-gastrointestinal symptoms apnea However, it is conceivable that there should impedanclometria a cause for all infants presenting ALTE, even if sometimes we cannot define it.
All of the MII-pH-test results were originally reported by one of the three hospital unit doctors on staff and then passed on for reinterpretation by a single researcher. A value of p less than 0. Aliment Pharmacol Ther ;