SURGICAL-TREATMENT OF GASTROESOPHAGEAL REFLUX IN CHILDREN WITH SEVERE ASTHMA

被引:0
作者
ANDZE, GO [1 ]
LUKS, FI [1 ]
BENSOUSSAN, AL [1 ]
BLANCHARD, H [1 ]
机构
[1] UNIV MONTREAL,HOP ST JUSTINE,DEPT CHIRURG,3175 COTE ST CATHERINE,MONTREAL H3T 1C5,QUEBEC,CANADA
来源
PEDIATRIE | 1991年 / 46卷 / 05期
关键词
ASTHMA; GASTROESOPHAGEAL REFLUX; PH MONITORING;
D O I
暂无
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The relationship between gastro-esophageal reflux (GER) and asthma, and the role of treatment of this disorder in severe asthma cases remain ill-defined. Using esophageal pH monitoring, pathological GER was demonstrated in 57 of 139 children with severe asthma. Among these 57 patients medical treatment of GER lessened the respiratory symptoms in 24 and was without effect in 33. In the latter group, asthma was improved in 29 with surgical treatment of the GER, the results being less satisfactory in those patients without GER digestive symptoms. Our results suggest that there is a place for treatment of GER in selected children with severe asthma. Esophageal pH monitoring appears useful to detect pathological GER and to determine which patients may benefit from surgical treatment.
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页码:451 / 454
页数:4
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