gastro-jРоссийский журнал гастроэнтерологии, гепатологии, колопроктологииRussian Journal of Gastroenterology, Hepatology, Coloproctology1382-43762658-6673«Gastro» LLCgastro-j-1123Research ArticleЛЕКЦИИ И ОБЗОРЫLECTURES AND REVIEWSОптимизация диагностики гастроэзофагеальной рефлюксной болезни у детейImprovement of gastroesophageal reflux disease diagnostics in pediatricsЭрдесС. И.ErdesS. I.

Эрдес Светлана Ильинична — доктор медицинских наук, профессор, заведующая кафедрой пропедевтики детских болезней педиатрического факультета

119991, Москва, ул. Трубецкая, д. 8

Erdes Svetlana I — MD, PhD, professor, head of the chair of pediatric propedeutics, pediatric faculty

119991, Moscow, Trubetskaya street, 8

erdes@mma.ruПолищукА. Р.PolischukA. R.

Полищук Альбина Ринатовна — аспирант кафедры пропедевтики детских болезней педиатрического факультета 

119991, Москва, ул. Трубецкая, д. 8

 

Polischuk Albina R — post-graduate student of chair of pediatric propedeutics, pediatric faculty

119991, Moscow, Trubetskaya street, 8

ar.polischuk@gmail.comГБОУ ВПО «Первый Московский государственный медицинский университет им. И. М. Сеченова»  Минздрава РоссииРоссияState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university», Ministry of Healthcare of the Russian FederationRussian Federation201419042024244411Copyright © Эрдес С.И., Полищук А.Р., 20142014Эрдес С.И., Полищук А.Р.Erdes S.I., Polischuk A.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gastro-j.ru/jour/article/view/1123

Цель обзора. Представить данные зарубежных клинических исследований, посвященных оптимизации диагностики гастроэзофагеальной рефлюксной болезни (ГЭРБ) у детей.Основные положения. ГЭРБ — частая проблема в педиатрии, ее проявления иногда трудно диагностировать. В основном гастроэзофагеальный рефлюкс (ГЭР) является физиологическим и встречается у каждого ребенка, особенно после еды. Многие эпизоды рефлюксов протекают бессимптомно, однако у некоторых детей ГЭР связан с различными серьезными симптомами и деструкцией слизистой оболочки пищевода, так как защитные механизмы в детском возрасте еще недостаточно развиты. Поэтому необходимы дополнительные исследования, чтобы дифференцировать пищеводные и внепищеводные проявления ГЭРБ. Одним из современных методов является многоканальная внутрипросветная импеданс-pH-метрия. Это очень чувствительный метод, позволяющий обнаружить некислые, слабокислые рефлюксы, высоту распространения рефлюкса.Заключение. Многоканальная внутрипросветная импедансометрия по сравнению с внутрипищеводной рН-метрией имеет более широкие диагностические возможности, поскольку позволяет определять эпизоды кислого, некислого и щелочного рефлюксов.

The aim of review

The aim of review. To present data of the foreign clinical studies devoted to optimization of diagnostics of gastroesophageal reflux disease (GERD) in children.

Key points

Key points. GERD is a frequent issue in pediatrics, its manifestations are difficult to reveal sometimes. In most of the cases gastroesophageal reflux (GER) is physiological, especially postprandially and can be detected in every child. Many episodes of refluxes proceed asymptomatically, however in some children GER is related to various serious symptoms and damage of esophageal mucosa because protective mechanisms are insufficiently developed in the young age. Therefore additional investigations are required to differentiate esophageal and extraesophageal manifestations of GERD. Multichannel intraluminal impedance — pH-metry is one of the modern diagnostic methods. It is very sensitive, allowing to reveal non-acidic, weakly acidic refluxes, as well as the height of refluxate spread.

Conclusion

Conclusion. Multichannel intraluminal impedance measurement in comparison with intraesophageal pH-metry has wider diagnostic potentials as allows to determine episodes of acidic, non-acidic and alkaline refluxes.

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The authors declare that there are no conflicts of interest present.