Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/2408 http://dx.doi.org/10.1590/S0100-879X2005000200009 |
Resumo: | 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. |
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Monteiro, Virginia r.s.g. [UNIFESP]Sdepanian, Vera Lucia [UNIFESP]Weckx, Luc Louis Maurice [UNIFESP]Fagundes-Neto, Ulisses [UNIFESP]Morais, Mauro Batista de [UNIFESP]Universidade Federal de São Paulo (UNIFESP)2015-06-14T13:31:27Z2015-06-14T13:31:27Z2005-02-01Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 38, n. 2, p. 215-220, 2005.0100-879Xhttp://repositorio.unifesp.br/handle/11600/2408http://dx.doi.org/10.1590/S0100-879X2005000200009S0100-879X2005000200009.pdfS0100-879X200500020000910.1590/S0100-879X2005000200009WOS:000227480900009Gastroesophageal 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.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Disciplina de Otorrinolaringologia PediátricaUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Disciplina de Gastroenterologia PediátricaUNIFESP, EPM, Disciplina de Otorrinolaringologia PediátricaUNIFESP, EPM, Disciplina de Gastroenterologia PediátricaSciELO215-220engAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological ResearchSinusitisChronic diseaseGastroesophageal refluxChildrenAdolescentsEsophageal pH monitoringTwenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALS0100-879X2005000200009.pdfapplication/pdf448758${dspace.ui.url}/bitstream/11600/2408/1/S0100-879X2005000200009.pdf06b3d0eb828846165357093ca983a7b9MD51open accessTEXTS0100-879X2005000200009.pdf.txtS0100-879X2005000200009.pdf.txtExtracted texttext/plain21795${dspace.ui.url}/bitstream/11600/2408/21/S0100-879X2005000200009.pdf.txt52fb029db024007655d6628db92d738bMD521open accessTHUMBNAILS0100-879X2005000200009.pdf.jpgS0100-879X2005000200009.pdf.jpgIM Thumbnailimage/jpeg5094${dspace.ui.url}/bitstream/11600/2408/23/S0100-879X2005000200009.pdf.jpge5c358c5e8ad0ce98249f7d435c89e12MD523open access11600/24082023-06-05 20:02:56.684open accessoai:repositorio.unifesp.br:11600/2408Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-06-05T23:02:56Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis |
title |
Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis |
spellingShingle |
Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis Monteiro, Virginia r.s.g. [UNIFESP] Sinusitis Chronic disease Gastroesophageal reflux Children Adolescents Esophageal pH monitoring |
title_short |
Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis |
title_full |
Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis |
title_fullStr |
Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis |
title_full_unstemmed |
Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis |
title_sort |
Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis |
author |
Monteiro, Virginia r.s.g. [UNIFESP] |
author_facet |
Monteiro, Virginia r.s.g. [UNIFESP] Sdepanian, Vera Lucia [UNIFESP] Weckx, Luc Louis Maurice [UNIFESP] Fagundes-Neto, Ulisses [UNIFESP] Morais, Mauro Batista de [UNIFESP] |
author_role |
author |
author2 |
Sdepanian, Vera Lucia [UNIFESP] Weckx, Luc Louis Maurice [UNIFESP] Fagundes-Neto, Ulisses [UNIFESP] Morais, Mauro Batista de [UNIFESP] |
author2_role |
author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Monteiro, Virginia r.s.g. [UNIFESP] Sdepanian, Vera Lucia [UNIFESP] Weckx, Luc Louis Maurice [UNIFESP] Fagundes-Neto, Ulisses [UNIFESP] Morais, Mauro Batista de [UNIFESP] |
dc.subject.eng.fl_str_mv |
Sinusitis Chronic disease Gastroesophageal reflux Children Adolescents Esophageal pH monitoring |
topic |
Sinusitis Chronic disease Gastroesophageal reflux Children Adolescents Esophageal pH monitoring |
description |
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. |
publishDate |
2005 |
dc.date.issued.fl_str_mv |
2005-02-01 |
dc.date.accessioned.fl_str_mv |
2015-06-14T13:31:27Z |
dc.date.available.fl_str_mv |
2015-06-14T13:31:27Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 38, n. 2, p. 215-220, 2005. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/2408 http://dx.doi.org/10.1590/S0100-879X2005000200009 |
dc.identifier.issn.none.fl_str_mv |
0100-879X |
dc.identifier.file.none.fl_str_mv |
S0100-879X2005000200009.pdf |
dc.identifier.scielo.none.fl_str_mv |
S0100-879X2005000200009 |
dc.identifier.doi.none.fl_str_mv |
10.1590/S0100-879X2005000200009 |
dc.identifier.wos.none.fl_str_mv |
WOS:000227480900009 |
identifier_str_mv |
Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 38, n. 2, p. 215-220, 2005. 0100-879X S0100-879X2005000200009.pdf S0100-879X2005000200009 10.1590/S0100-879X2005000200009 WOS:000227480900009 |
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http://repositorio.unifesp.br/handle/11600/2408 http://dx.doi.org/10.1590/S0100-879X2005000200009 |
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eng |
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Brazilian Journal of Medical and Biological Research |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
215-220 |
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Associação Brasileira de Divulgação Científica |
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Associação Brasileira de Divulgação Científica |
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