Gastroözefageal Reflü Şüpheli̇ Çocuklarda pH metre Sonuçlarının Değerlendi̇ri̇lmesi

INTRODUCTION: 24 hours pH meter analysis in patient with suspected gastroesophageal reflux has a significant recognition as a method to date. It is planned to determine pH meters analysis of the results correlated with clinical findings in patients with susected gastroesophageal reflux.
METHODS: Between January 2006 and January 2008 in patients with suspected gastroesophageal reflux investigement of the pH meter was made whit in the 24 hours period with a double-channel catheter, and all pH meter records were analyzed and evaluated.
RESULTS: pH meter analysis was made of the 109 patents, 70 males and 39 females. The mean ages was 22 months, ranged between 14 days and 120 months. 14 patients with operated for esophageal atresia with fistula, 59 patients with frequent lung infections, 7 pateints who underwent surgery for left diaphragmatic hernia undervent pH meter investigements. 31 cases with gastroesophageal reflux
were detected in 13 females and 18 males. 13 of 31 cases were with frequent lung infections, 5 of its were intermittent vomiting, 9 of its were with had operated esophageal atresia with fistula, 3 of its were with neurological deficit,1 of the pateint was operated for diaphragmatic hernia. As a results of pH meter; gastroesophageal refluxes were determined in 9 of 14 patients with esophageal atresia with fistula (%64), and 13 of 59 patients with frequent lung infections (%22), and only 1 of 7 patients who underwent
surgery for left diaphragmatic hernia (%14). Intensity and duration of reflux which detected by pH meter were required surgery in 8 cases of 31 patients. A parent of a 6 years old girl which had vomiting didn’t accept surgery. Antireflux surgery procedures were performed in 7 patients, 5 of these patients had undergone previous surgery because of esophageal atresia, among
the other two cases had vomiting.
DISCUSSION AND CONCLUSION: As a results of pH meters, indication for reflux surgery was placed in a small group of patients in our series. Although it seems to be noninvasive investigements especially in patients with frequent upper respiratory tract infections; while making a decision for doing of the pH meter should be more selective due to unconfortable of catheterisation.