The Turkish Journal of Pediatrics 2016 , Vol 58 , Num 5
Detection of gastroesophageal reflux in children with cerebral palsy using combined multichannel intraluminal impedance–ph procedure
Gönül Çaltepe 1 ,Özlem Yüce 1 ,Atakan Comba 1 ,Hamit Özyürek 2 ,Ayhan Gazi Kalaycı 1 ,Haydar Ali Taşdemir 2
1 Units of Pediatric Gastroenterology, Hepatology and Nutrition, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey
2 Units of Pediatric Neurology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey
DOI : 10.24953/turkjped.2016.05.010 Gastroesophageal reflux (GER) is a very common condition in children with neurological impairment and this can influence nutritional and respiratory outcomes. The aim of this study was to investigate the presence of GER in children with cerebral palsy (CP) using multiple intraluminal impedance (MII)-pH monitoring. The use of combined MII-pH allows for the detection of both acid and non-acid reflux episodes. A total of 29 CP patients with symptoms suggesting GER, aged 2 to 10 years old, underwent 24-hour combined MII-pH monitoring. There were a total of 3899 reflux episodes, of which 29% were acid, 60% were weakly acid and 11% were alkaline. The number of non-acid reflux episodes was statistically significantly greater (p<0.01). These findings confirm that GER disease is seen frequently in children with cerebral palsy and most of the reflux episodes are not acidic. Non-acid reflux can also influence the morbidity in patients with cerebral palsy. It can be concluded that 70% of the reflux episodes would not have been recognized by pH measurement alone. Keywords : cerebral palsy, children, gastroesophageal reflux, multiple intraluminal impedance, non-acid reflux
Copyright © 2016