GASTROÖZEFAGEAL REFLÜ ŞÜPHELİ ÇOCUKLARDA pH METRE SONUÇLARININ DEĞERLENDİRİLMESİ [Results of the pH meter in children with gastroesophageal reflux]

Cengiz GÜL; Ayşenur CERRAH CELAYİR; Ceyhan ŞAHİN; Gökmen KURT

Makale detayları

GASTROÖZEFAGEAL REFLÜ ŞÜPHELİ ÇOCUKLARDA pH METRE SONUÇLARININ DEĞERLENDİRİLMESİ [Results of the pH meter in children with gastroesophageal reflux]

Yazarlar:

Cengiz GÜL | Ayşenur CERRAH CELAYİR | Ceyhan ŞAHİN | Gökmen KURT

Yayıncı:

Zeynep Kamil Kadın ve Çocuk Hastalıkları EAH

Dergi:

Medical Bulletin of Zeynep Kamil 2014 Vol.45 Issue 1, pp.44-48

Belge Tipi:

Makale

Yayın Tarihi:

2/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000758829

Sıklık:

Aylık

eISSN:

2148-4864

pISSN:

1300-7971

Anahtar kelimeler:

Özet:

 

Introduction and Aim: 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.Material and Method: 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, CİLT: 45 YIL: 2014 SAYI: 1ZEYNEP KAMİL TIP BÜLTENİKLİNİK ARAŞTIRMAGastroözefageal Reflü Şüphelı̇ ÇocuklardapH metre Sonuçlarının Değerlendı̇rı̇lmesiCengiz Gül, Ayşenur Cerrah Celayir, Ceyhan Şahin, Gökmen KurtZeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi,Çocuk Cerrahisi Kliniğiİletişim BilgileriSorumlu Yazar: Ayşenur Cerrah CELAYİRYazışma Adresi: Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, Çocuk Cerrahisi KliniğiTelefon: 0216 391 06 80 Makale Geliş Tarihi: 09/02/2013Makale Kabul Tarihi: 27/12/20131 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.Conclusions: 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.

 


Giriş ve Amaç: Gastroözefageal reflü şüpheli olgularda 24 saatlik pH metre analizi önemli bir tanı yöntemi olarak güncelliğini korumaktadır. Klinik olarak kuvvetle gastroözefageal reflü şüpheli olgularda, pH metre analizi sonuçlarının klinik bulgu ile korale olup olmadığını saptamak amacıyla bu çalışma planlandı. 

Gereç ve Yöntem: Ocak 2006-Ocak 2008 yılları arasında gastroözefageal reflü şüpheli olgularımızda 24 saatlik çift kanalı kateter ile pH metre analizi yapıldı ve olguların tüm kayıtları değerlendirildi.

Bulgular: Kliniğimizde pH metre analizi yapılan yapılan 109 hastanın 70’i erkek, 39’u kız olup ortalama yaşları 22 ay (14 gün ile120 ay arasında) idi. pH metre ile reflü saptanan 31 olgunun 13’ü kız,18’i erkek idi. Reflü saptanan 31 olgunun 13’ü sık akciğer infeksiyonu, 5’i aralıklı kusma, 9’u kusma yakınması olan opere distal fistüllü özefagus atrezisi, 3’ü nörolojik defisitli olgu, 1’i ise diafragma hernisi nedeniyle opere olmuş idi.

Fistüllü özefagus atrezisi nedeniyle opere olmuş 14 hastada yapılan pH metre sonucunda 9’unda reflü saptandı (%64), sık akciğer enfeksiyonu tanısı alan 59 hastanın 13’ünde reflü saptandı (%22). Sol diyafragma hernisi nedeniyle opere olan 7 hastanın sadece 1’inde reflü saptandı (%14). 

pH metre ile reflü saptanan 31 olgunun 8’inde reflü şiddeti ve süresi ameliyat gerektiren sınırlardaydı, bunlardan 6 yaşındaki kusma yakınmalı bir olgunun ailesi ameliyatı kabul etmedi, 7 olguda antireflü cerrahi girişim yapıldı. Bu olguların 5’i daha önce fistüllü özefagus atrezisi nedeniyle operasyon geçirmişti, diğer ikisi ise kusma yakınmalı olgulardandı. 

Sonuç: Gastroözofageal reflü hastalığı olan çok az bir hasta grubunda ameliyat endikasyonu konulmasında pHmetrenin katkısı olmuştur. Dolayısıyla her ne kadar noninvaziv olsa da 24 saat boyunca özefageal kateterin takılmasının vereceği rahatsızlık göz önüne alınarak, özellikle sık ÜSYE geçiren çocuklarda pH metre yapılmasında daha seçici olunmalıdır.

Anahtar Kelimeler: Gastroözefageal reflü, pH metre, özefagus manometresi, reaktif hava yolları. 

 

Abstract:

Introduction and Aim: 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.

 

Material and Method: 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.

 

Conclusions: 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.

 

Key Words: Gastroesophageal Reflux, pH meter, esophagus manometer, reactive airway

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Makale detayları

GASTROÖZEFAGEAL REFLÜ ŞÜPHELİ ÇOCUKLARDA pH METRE SONUÇLARININ DEĞERLENDİRİLMESİ [Results of the pH meter in children with gastroesophageal reflux]

Yazarlar: Cengiz GÜL | Ayşenur CERRAH CELAYİR | Ceyhan ŞAHİN | Gökmen KURT

Yayıncı: Zeynep Kamil Kadın ve Çocuk Hastalıkları EAH

Dergi: Medical Bulletin of Zeynep Kamil 2014 Vol.45 Issue 1, pp.44-48

Belge Tipi: Makale

Yayın Tarihi: 2/2014

Belge Dili: Türkçe

Document ID (Org No.): 2000758829

Sıklık: Aylık

eISSN: 2148-4864

pISSN: 1300-7971

Gastroözefageal reflü

pH metre

özefagus manometresi

reaktif hava yolları.

Sayı

Yazarlar:

Cengiz GÜL | Ayşenur CERRAH CELAYİR | Ceyhan ŞAHİN | Gökmen KURT

Yayıncı:

Zeynep Kamil Kadın ve Çocuk Hastalıkları EAH

Dergi:

Medical Bulletin of Zeynep Kamil 2014 Vol.45 Issue 1, pp.44-48

Belge Tipi:

Makale

Yayın Tarihi:

2/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000758829

Sıklık:

Aylık

eISSN:

2148-4864

pISSN:

1300-7971