Title |
Impedance Testing in Esophageal Atresia Patients
|
---|---|
Published in |
Frontiers in Pediatrics, April 2017
|
DOI | 10.3389/fped.2017.00085 |
Pubmed ID | |
Authors |
Maheen Hassan, Hayat Mousa |
Abstract |
Esophageal atresia patients are predisposed to gastroesophageal reflux as a result of the altered esophageal anatomy and motility. These patients experience significant morbidity from gastroesophageal reflux. As a result, an effective way to diagnose and monitor for reflux is crucial. pH-metry is able to quantify acid burden, ensure that acid suppression is adequate during long-term follow-up, and correlate acid reflux to symptoms. pH with impedance is additionally able to detect non-acid reflux as well as volume clearance, both of which also correlate with patient symptoms. It is also able to correlate extra-gastrointestinal symptoms to reflux, which may help guide treatment. If complications associated with uncontrolled reflux are identified, aggressive reflux management is necessary, oftentimes requiring surgical intervention. |
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