Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis

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dc.contributor.author Monteiro, Virginia r.s.g. [UNIFESP]
dc.contributor.author Sdepanian, Vera Lucia [UNIFESP]
dc.contributor.author Weckx, Luc Louis Maurice [UNIFESP]
dc.contributor.author Fagundes-Neto, Ulisses [UNIFESP]
dc.contributor.author Morais, Mauro Batista de [UNIFESP]
dc.date.accessioned 2015-06-14T13:31:27Z
dc.date.available 2015-06-14T13:31:27Z
dc.date.issued 2005-02-01
dc.identifier http://dx.doi.org/10.1590/S0100-879X2005000200009
dc.identifier.citation Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 38, n. 2, p. 215-220, 2005.
dc.identifier.issn 0100-879X
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/2408
dc.description.abstract Gastroesophageal reflux (GER) disorder was studied in children and adolescents with chronic and/or recurrent rhinosinusitis not associated with bronchial asthma. Ten children with a clinical and radiological diagnosis of chronic and/or recurrent rhinosinusitis, consecutively attended at the Pediatric Otolaryngology Outpatient Clinic, Federal University of São Paulo, were evaluated. Prolonged esophageal pH monitoring was used to investigate GER disorder. The mean age of the ten patients evaluated (eight males) was 7.4 ± 2.4 years. Two patients presented vomiting as a clinical manifestation and one patient presented retrosternal pain with a burning sensation. Twenty-four-hour esophageal pH monitoring was performed using the Sandhill apparatus. An antimony probe electrode was placed in the lower third of the esophagus, confirmed by fluoroscopy and later by a chest X-ray. The parameters analyzed by esophageal pH monitoring included: total percent time of the presence of acid esophageal pH, i.e., pH below 4 (<4.2%); total number of acid episodes (<50 episodes); number of reflux episodes longer than 5 min (3 or less), and duration of the longest reflux episode (<9.2 min). One patient (1/10, 10%) presented a 24-h esophageal pH profile compatible with GER disorder. This data suggest that an association between chronic rhinosinusitis not associated with bronchial asthma and GER disorder may exist in children and adolescents, especially in those with compatible GER disorder symptoms. In these cases, 24-h esophageal pH monitoring should be performed before indicating surgery, since the present data suggest that 10% of chronic rhinosinusitis surgeries can be eliminated. en
dc.format.extent 215-220
dc.language.iso eng
dc.publisher Associação Brasileira de Divulgação Científica
dc.relation.ispartof Brazilian Journal of Medical and Biological Research
dc.rights Acesso aberto
dc.subject Sinusitis en
dc.subject Chronic disease en
dc.subject Gastroesophageal reflux en
dc.subject Children en
dc.subject Adolescents en
dc.subject Esophageal pH monitoring en
dc.title Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Disciplina de Otorrinolaringologia Pediátrica
dc.description.affiliation Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Disciplina de Gastroenterologia Pediátrica
dc.description.affiliationUnifesp UNIFESP, EPM, Disciplina de Otorrinolaringologia Pediátrica
dc.description.affiliationUnifesp UNIFESP, EPM, Disciplina de Gastroenterologia Pediátrica
dc.identifier.file S0100-879X2005000200009.pdf
dc.identifier.scielo S0100-879X2005000200009
dc.identifier.doi 10.1590/S0100-879X2005000200009
dc.description.source SciELO
dc.identifier.wos WOS:000227480900009



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