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La regurgitación es una manifestación clínica común en niños menores de un año, y una frecuente causa de consulta en la práctica diaria pediátrica. Su diagnóstico preciso requiere la elección de un buen equipo de monitorización de pH esofágico y de una técnica de ejecución óptima.
Este artículo es un consenso del Grupo de Trabajo de la Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica (SEGHNP) discutido en el VII Congreso de la SEGHNP (Vigo, 2000).
En general, las recomendaciones para indicar una monitorización de pHmetría esofágica se reducen a las siguientes situaciones: a) ante la existencia de síntomas sugestivos de reflujo gastroesofágico (RGE), cuya evolución no es favorable a pesar de instaurar un tratamiento correcto; b) cuando quiera establecerse la relación entre RGE y síntomas extradigestivos, y c) como control de la eficacia del tratamiento, ya sea médico o quirúrgico.
Palabras clave:
Reflujo gastroesofágico
pHmetría esofágica
Regurgitation is a common manifestation in infants below the age of 1 year and a frequent cause of visits to general practitioners and pediatricians. Accurate diagnosis of this condition requires a good choice of pH monitoring equipment and optimal technique when performing this procedure. The present article is a consensus statement of the Working Group on Gastroesophageal Reflux of the Spanish Society of Pediatric Gastroenterology, Hepatology and Nutrition (SSPGHN) and reflects the conclusions reached in the VII Congress of the SSPGHN (Vigo, 2000). In general, esophageal pH monitoring is indicated in the following situations: (i) when symptoms of gastroesophageal reflux are present and evolution is not favorable, despite appropriate treatment; (ii) when trying to determine the relationship between gastroesophageal reflux and non-digestive symptoms and (iii) when evaluating the results of treatment, whether medical or surgical.
Key words:
Gastroesophageal reflux
Esophageal pH-monitoring
pneumonia
Adult respiratory distress syndrome
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