Request PDF on ResearchGate | On Mar 1, , M. del Mar Tolín Hernani and others published Impedanciometría intraluminal multicanal esofágica. Casos Clínicos Caso Clínico N° 1. Lourdes 1° Consulta en Gastroenterología: 7 meses. MC: Ahogos y vómitos luego del alimento. Impedanciometría intraluminal multicanal esofágica: fundamentos técnicos y aplicaciones clínicas. Esophagic multichannel intraluminal impedance. Technical .
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Buffering of gastric acid by milk feeds in preterm infants limits usefulness of oesophageal pH recordings. Grant L, Cochran D. J Pediatr Gastroenterol Nutr ; Si continua navegando, consideramos que acepta su uso.
Utilidad de la Impedanciometría /Ph en Patología Esofágica by Sol Cangiano on Prezi
Comparison of esophageal pH and multichannel intraluminal impedance testing in pediatric patients with suspected gastroesophageal reflux. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
Reflux is best detected by impedance and its acidity is best determined by pH-testing. The combination of both techniques permits the detection of all reflux events and offers the best possible evaluation of the functionality of the anti-reflux barrier. But, diverse studies show that a large number of infants admitted to the emergency room for ALTE have alterations in at least one parameter of the pH-test 10which, however, could lead us to over-diagnose GER as the principle cause The Shapiro-Wilk test was used to determine the normality of the distribution.
Indications, methodology, and interpretation of combined esophageal impedance-pH monitoring in children: J Gastrointest Surg ; There also remains a group of infants classified under “without identifiable cause” esofagkca have the highest tendency for sudden death, oscillating between 0.
Results Thirty nine patients were evaluated over this 3 year period. Objectives The objective of this work is a description of the epidemiological and clinical data from infants admitted for ALTE and subjected to MII-pH-testing over the study period and the comparison of those results obtained via these two methods determining the sensitivity and the specificity of each one.
Thirty nine patients were evaluated over this 3 year period. Aliment Pharmacol Ther ; The analysis of the data obtained by the equipment can be analyzed in agreement with the criteria and point system of Demeester and Boix-Ochoa.
The correlation between these variables was analyzed using Spearman tests and their relation to each other using Cramer’s V and the phi coefficient. In the same way, the combination of pH-testing and MII uses its individual channels to help characterize refluxed materials liquids, gases and mixed and the distance that the bolus travels in the esophagus.
This implies that research is necessary to put a value on the relationship between MII and pH-testing in this age group 8. Various techniques have been used to categorize reflux, allowing us to measure and assess the underlying problem -the exposition time of the esophagus to gastric juices.
You can change the settings or obtain more information by clicking here. Intraluminal impedance technique in the diagnosis of apparent life-threatening events ALTE. Acids during gastro-esophageal reflux GER have been considered the main cause for gastro-esophageal reflux disease GERD in infants 1a disease which manifests with digestive and extra-gastrointestinal symptoms such as apnea and apparent life threatening episodes ALTE 2.
Esophageal impedance monitoring for gastroesophageal reflux.
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An Pediatr Barc ; The average age was 3. Prospective assessment of patient selection for antireflux surgery by combined multichannel intraluminal impedance pH monitoring. It is still necessary to define a value for normal standards in MII on pediatric patients.
Esophagic multichannel intraluminal impedance. Clin Gastroenterol Hepatol ;4: Other parameters were also considered: Ambulatory h esophageal pH monitoring: Additionally the reproducibility of the MII-pH-testing data is relatively poor in children Hospital Materno-Infantil Carlos Haya. So we ask ourselves, if combining pH-testing with MII would possibly improve upon the proficiency of the diagnoses. A retrospective study was done for MII-pH-testing between September and December on infants less than one year old admitted under our care on the hospital floor for having presented an apparent life threatening disorder.
No patients had previously received either antacids or prokinetic treatments.
Multichannel intraluminal impedance MII -pH-testing could prove advantageous in the detection of acid reflux and non-acid reflux, the clearing times for these and the progression distances up the esophagus. Technical bases and clinical applications. Disposable monocrystalline antimony catheters with 6 channels for measuring impedance and one channel for measuring pH were used.
This could be of diagnostic and therapeutic importance 25especially in younger infants at risk of esophageal disease not associated with acids. Dig Liv Dis ; Pediatric gastroesophageal reflux disease and acid-related conditions: This suggests that the combination of both techniques is better than MII or pH-testing alone.
ALTE is described as an impromptu and unexpected episode exhibiting to the scared observer symptoms of imminent or true death requiring intervention by the caregiver such as: Normal values of h ambulatory intraluminal impedance combined with pH-metry in subjects eating a Mediterranean diet. This item has received.