24-hour esophageal pH monitoring measures and records the pH in the esophagus with the aim of establishing gastro-esophageal reflux disease (GERD). Esophageal reflux is a condition in which stomach acid refluxes or moves back into the esophagus. When reflux occurs frequently and to a greater extent than expected, it can cause various gastrointestinal and respiratory symptoms. The esophageal pH test measures how often the stomach contents reflux into the lower esophagus and how much acid the reflux contains.
The examination is performed with the child sitting, whereby a thin, small tube with a device on the tip that senses acid is gently passed through the nose, down the esophagus, and positioned about 3 to 5 centimeters above the stomach. The tube is fastened to the side of the face with clear tape. The end of the tube that comes out of the nose is attached to a portable recorder that is worn over the shoulder. The recorder has several buttons on it that you will press to mark certain events. A nurse will review the monitoring instructions with you.
PREPARATION OF THE CHILD
- It is important to explain to your child how the procedure is to be performed.
- dijete treba biti minimalno 5 sati natašte prije pretrage
- Two days (48 hours) before the monitoring period, the child should not take H2 blockers: Zantac®, Ranix®, Peptoran ® (ranitidine), Six hours before the monitoring period, the child should not take antacids, Rennie® or alginates, Gaviscon®, Reflustat®, Four to six hours before your appointment, the child should not eat or drink.
What to bring – recommended:
- complete medical documentation
24h pH-metrija jednjaka se NE preporuča izvoditi kada je dijete akutno bolesno, ima puno sekreta u gornjim dišnim putevima ili je na antibiotskoj ili drugoj terapiji koja na nju može utjecati!