[
Abstract]
[
Full Text PDF] （in Japanese / 1075KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 90(10): 1713-1717, 1989
Original article
EVALUATION OF THE GASTROESOPHAGEAL REFLUX (GER) IN INFANCY ANALYSED WITH THE SUBSCORE OF THE CONTINUOUS LOWER ESOPHAGEAL pH MONITORING (pH-monitoring)
Since GER in infancy tends to disappear as patients grow, operation should be selected carefully. Data of the pH-monitoring collected from 114 cases for last 8 years were analysed. Thirty five cases were observed without operation in view of their younger age (under 6 months) or mild degree of GER evaluated on the basis of clinical signs, radiological, manometric, pH-metric and fiberscopic examination. Four in 5 aggravating cases were compared with 8 improving cases selected frorn the no-operated 30 cases. The four pH-subscores calculated by Johnson's method were compared between 2 groups. The means and standard deviations of the subscores of the number of the pH less than 4.0 greater in duratin than 5 min. were 42.4±14.791 in the aggravating and 5.7±0.766 in the improving : those of the duratin of the longest episorde of pH less than 4.0 were 7.4±1.996 and 2.5±0.335, Difference between the both subscores were statistically significant (p＜0.05). Therefore those subscores can be used as a parameter by which early operation may be chosen rather than subjecting the patient to a prolonged no-operative treatment.
To read the PDF file you will need Adobe Reader installed on your computer.