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Valkuilen bij de beoordeling van een 24-uurs pH-meting

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Tijdschrift voor Kindergeneeskunde

Samenvatting

Momenteel wordt 24-uurs intraoesofageale pH-meting beschouwd als de gouden standaard om pathologische gastrooesofageale reflux aan te tonen. In de praktijk blijkt de beoordeling van een pH-meting geen gemakkelijke opgave. In dit artikel bespreken we hoe een pH-meting beoordeeld moet worden. We gaan daarbij in op de uitvoering van een pH-meting, de technische problemen die zich tijdens een pH-meting kunnen voordoen, de interpretatie van refluxparameters en het effect van voeding bij zuigelingen met gastro-oesofageale reflux. Tevens bespreken we aan de hand van een aantal voorbeelden de problemen die zich bij de beoordeling kunnen voordoen.

Summary

Oesophageal pH-monitoring is at present considered to be the gold standard to diagnose pathological gastro-oesophageal reflux. In daily practice the interpretation of a pH tracing is not easy. In this article, we discuss the methodology of 24-hour intraesophageal pH-monitoring, the technical problems that can occur, the interpretation of the reflux parameters and the effect of feeding in infants with gastro-oesophageal reflux. With various examples the pitfalls in the assessment of pH-monitoring are shown.

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    E. van Os

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  1. E. van Os
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  2. R. H. J. Houwen
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  3. W. E. Tjon A Ten
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Additional information

Mw. drs. E. van Os, assistent-geneeskundige, afdeling Kindergeneeskunde, UMC St Radboud, Nijmegen (thans: kinderarts, Ziekenhuis Rijnstate, Arnhem). Dhr. dr. R.H.J.Houwen, kinderarts gastro-enteroloog, afdeling Kindergastro-enterologie, Wilhelmina Kinderziekenhuis, Utrecht. Dhr. dr. W.E. Tjon A Ten, kinderarts gastro-enteroloog, afdeling Kindergeneeskunde, Máxima Medisch Centrum, Veldhoven.

Correspondentieadres: Drs. E. van Os, assistent-geneeskundige, afdeling Kindergeneeskunde, UMC St Radboud, Huispostnummer 833, Postbus 9101, 6500 HB Nijmegen.

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van Os, E., Houwen, R.H.J. & Ten, W.E.T.A. Valkuilen bij de beoordeling van een 24-uurs pH-meting. KIND 77, 11–16 (2009). https://doi.org/10.1007/BF03086346

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  • DOI: https://doi.org/10.1007/BF03086346

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