Esophageal impedance monitoring for gastroesophageal reflux.
Esophageal impedance monitoring for gastroesophageal reflux.
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DOI：
10.1097/mpg.0b013e3181ffde67
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发表时间：
2011-02
影响因子：
2.9
通讯作者：
Nurko S
中科院分区：
文献类型：
--
作者：
Mousa HM;Rosen R;Woodley FW;Orsi M;Armas D;Faure C;Fortunato J;O'connor J;Skaggs B;Nurko S
双ph -多通道腔内阻抗（pH-MII）是评估整体胃食管反流疾病的敏感工具，特别是允许检测非酸反流事件。pH-MII技术在餐后或胃内容物呈非酸性时特别有用。pH- mii最近被北美儿科胃肠病学、肝病学和营养学会和欧洲儿科胃肠病学、肝病学和营养学会认可，在评估症状和胃食管反流之间的时间关系方面，pH- mii优于单独监测pH。在儿童中，pHMII有助于将症状与反流（特别是非酸反流）联系起来，量化管饲和餐后期间的反流，并评估抗反流治疗的疗效。这篇临床综述只是一个基于证据的概述，针对儿童临床使用pH-MII的适应症、局限性和推荐方案。
Dual pH-multichannel intraluminal impedance (pH-MII) is a sensitive tool for evaluating overall gastroesophageal reflux disease, and particularly for permitting detection of nonacid reflux events. pH-MII technology is especially useful in the postprandial period or at other times when gastric contents are nonacidic. pH-MII was recently recognized by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition as being superior to pH monitoring alone for evaluation of the temporal relation between symptoms and gastroesophageal reflux. In children, pHMII is useful to correlate symptoms with reflux (particularly nonacid reflux), to quantify reflux during tube feedings and the postprandial period, and to assess efficacy of antireflux therapy. This clinical review is simply an evidence-based overview addressing the indications, limitations, and recommended protocol for the clinical use of pH-MII in children.