| Gastroesophageal Reflux in Ingants and Clinical Experience with 24-Hour Esophageal pH Monitoring. |
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Kum Ja Choi1, Keun Lee2 |
1Department of Surgery, College of Medicine, Ewha Womans University, Seoul, Korea
2Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul, Korea |
| 소아기 위식도역류와 24 시간 식도 pH Monitoring의
방법 및 증례보고 |
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최금자1, 이근2 |
1이화여자대학교 의과대학 외과학교실
2이화여자대학교 의과대학 소아과학교실 |
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Received: 1 September 1987 • Accepted: 11 December 1987 |
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| Abstract |
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Gastroesophageal reflux defined as a dysfunction of the distal esophagus is a major cause of
recurrent vomiting and failure to thrive in newborns and young infants.
In infants, the differentiation between pathologic, pernicous vomiting and normal “burping” with
regurgitation has been difficult until the far advanced complications of weight loss, failure to thrive,
anemia from ulcerating esophagitis, or stricutre have been obvious.
A number of tests for evaluation of gastroesophageal reflux include barium esophagram, gastroeso-
phageal scintiscan, esophagoscopy with or without esophageal biopsy, esophageal manometry, and
standard acid reflux test. However the 24-hour pH monitoring of the distal esophagus deserves the
most reliable, sensitive, and precise test correlating data with disease in infants.
This report for the first time in Korea describes the application of this technique and the clinical
experience with eight symptomatic and one asymptomatic infants. |
| Key Words:
Gastroesophageal reflux, 24-hour esophageal pH Monitoring |
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