[Role of interview in diagnosis of gastroesophageal reflux in children]

Pol Merkur Lekarski. 2004 Mar;16(93):213-6.
[Article in Polish]

Abstract

The aim: Of the study was to establish the most frequent clinical symptoms of gastroesophageal reflux (GER) disease in children.

Material and methods: 214 children aged from 4 months to 15 years with symptoms suggested GER. The medical documentation of children was analyzed with regard to results of clinical symptoms and 24-hour pH-monitoring.

Results: The most frequent symptom in newborn was spitting, in children aged 1-3 was vomiting, in children aged 4-15 was stomach pain. Amongst children to 3 years recurrent bronchitis was frequent co-existent disease, in older children duodenitis or/and gastritis. Based on positive result of 24-hour pH-monitoring gastroesophageal disease was diagnosed in 184 (86%) patients. Preliminary diagnosis of GER based on the medical interview with high percentage of positive results of 24-hour pH-monitoring. The introduced results prove the medical interview to be still significant part of GER diagnosis.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Bronchitis / etiology
  • Child
  • Child, Preschool
  • Diagnosis, Differential
  • Duodenitis / etiology
  • Gastric Acidity Determination
  • Gastritis / etiology
  • Gastroesophageal Reflux / complications*
  • Gastroesophageal Reflux / diagnosis*
  • Humans
  • Hydrogen-Ion Concentration
  • Infant
  • Male
  • Medical History Taking*
  • Monitoring, Physiologic
  • Pain / etiology
  • Vomiting / etiology