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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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PH monitoring in the distal and proximal esophagus in symptomatic infants.

Subsequently, a positive or negative GER diagnosis was established based on the results given by impedance measurement analysis as compared with the diagnostic results from pH-testing. 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.

In our data, the number of non-acid refluxes was There exist published values for premature infants 17 and adults 18, Patients and methods A retrospective study was done for MII-pH-testing between September and December on infants less than one esoofagica old admitted under our care on the hospital floor for having presented an apparent life threatening disorder.

From pH-testing alone, 14 infants Pediatric gastroesophageal reflux clinical practice guidelines: Additionally the reproducibility of the MII-pH-testing data is relatively poor in children To improve our services and products, we use “cookies” impedanciometriq or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

The Student’s t test and chi-squared test were used to compare the parametrical variables. After the clinical data was taken and the complementary tests were done on each patient, we have a total of 18 cases which were finally diagnosed with gastro-esophageal reflux as the main cause for ALTE Table Impedanciometfia. ALTE and sudden infant death syndrome. It is still necessary to define a value for normal standards in MII on pediatric patients.


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The effectiveness of the diagnosis, therefore, improves when combining the two techniques. The Shapiro-Wilk test was used to determine the normality of the distribution.

These manuscripts contain updated topics with a major clinical or conceptual relevance in modern medicine. The average length of testing was The gold standard in detection of gastrointestinal reflux disease?

Clinical features and prevalence of gastroesophageal reflux disease in infants attending a pediatric gastroenterology reference service. However, this is all very tentative due to the lack of normal standards for this age group when using MII. Dig Liv Dis ; Thirty nine patients were evaluated over this 3 year period. Esophagic multichannel intraluminal impedance. Here the time for the esophagus to clear was 4. For this, the following parameters were taken into account: Our research presents its own limitations both because the number of patients in the study is not very high and due to the inevitable subjectivity to interpretation of MII-pH-testing in infants without having clear normal standards for this age group.

Prospective assessment of patient selection for antireflux surgery by combined multichannel intraluminal impedance pH monitoring.


Recent studies have shown that, in spite of a decline in instances of sudden infant death syndrome SIDSprimarily due to the reduction in popularity of placing the infant in the prone position to sleep, the frequency of hospital admissions for ALTE have remained the same 6.

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Epidemiology and pathophysiology of symptomatic gastroesophageal reflux disease. The patient’s caregiver remained present for the 24 hours of measurement taking and was given a paper where they registered feeding and sleeping times and the times of appearance of any symptoms considered abnormal coughing, vomiting, crying The combination of MII with monitoring using pH-testing allows for diagnosing the existence of alkaline reflux and moderately-acidic refluxes, thus improving upon this limitation presented in the field of conventional pH-testing.

A global evidence-based consensus on the definition of gastroesophageal reflux disease in children. The association of pH monitoring and MII provides additional information that improves GER diagnostic performance without posing any additional risk to the infant patient.

Utilidad de la Impedanciometría /Ph en Patología Esofágica by Sol Cangiano on Prezi

Technical bases and clinical applications. Am J Gastroenterol ; Other parameters were also considered: MII identified a total of 8, events; only 3, among them were refluxes, with a median of 75 IQ: Between andthe annual incidence for diagnosing GERD in infants less than one year old has tripled 3.

Indications, methodology, and interpretation of combined esophageal impedance-pH monitoring in children: