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Research ArticleOriginal Article
Open Access

The diagnosis of gastroesophageal reflux disease in children

Mohammad I. El Mouzan and Asaad M. Abdullah
Saudi Medical Journal February 2002, 23 (2) 164-167;
Mohammad I. El Mouzan
Division of Gastroenterology, Department of Pediatrics 39, College of Medicine and King Khalid University Hospital, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia. Fax. +966 (1) 4679463. E-mail: [email protected]
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Asaad M. Abdullah
Division of Gastroenterology, Department of Pediatrics, College of Medicine and King Khalid University Hospital, King Saud University, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia.
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Abstract

OBJECTIVE: Gastroesophageal reflux disease is a common disorder affecting children worldwide. The objective of this study is to report our experience on the accuracy of tests used for the diagnosis ofgastroesophageal reflux disease with emphasis on the advantages and disadvantages of each of them.

METHODS: This study took place in the Pediatric Gastroenterology Division, Department of Pediatrics, College of Medicine and King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, during the period of 1994 through to 1999. Results of barium meal, 24-hour esophageal pH monitoring, endoscopy, and gastrointestinal scintigraphy are analyzed and compared in children with and without gastroesophageal reflux disease.

RESULTS: One hundred and forty-four children were investigated. The diagnosis was confirmed in 85 and excluded in 59 children, who will be considered as patients without gastroesophageal reflux disease. The results of barium meal, 24 hour pH monitoring, endoscopy, and gastrointestinal scintigraphy were positive in 80%, 78%, 92%, and 70% of the patients with gastroesophageal disease. The same studies were falsely positive in 29%, 9%, 19%, and 0% of those without gastroesophageal reflux disease. Esophageal pH was the most specific diagnostic study (91%), whereas endoscopy was the most sensitive (92%) and had the best positive predictive value (95%).

CONCLUSION: The results of this study are similar to reports from other parts of the world. It is stressed that all procedures have important advantages and disadvantages indicating that the selection of procedures should be individualized and based on the clinical situation.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 23 (2)
Saudi Medical Journal
Vol. 23, Issue 2
1 Feb 2002
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The diagnosis of gastroesophageal reflux disease in children
Mohammad I. El Mouzan, Asaad M. Abdullah
Saudi Medical Journal Feb 2002, 23 (2) 164-167;

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The diagnosis of gastroesophageal reflux disease in children
Mohammad I. El Mouzan, Asaad M. Abdullah
Saudi Medical Journal Feb 2002, 23 (2) 164-167;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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