The role of high-resolution impedance manometry to identify rumination syndrome in children with unexplained foregut symptoms.

oesophageal high resolution manometry paediatric upper gastrointestinal symptoms

Journal

Journal of pediatric gastroenterology and nutrition
ISSN: 1536-4801
Titre abrégé: J Pediatr Gastroenterol Nutr
Pays: United States
ID NLM: 8211545

Informations de publication

Date de publication:
22 Feb 2024
Historique:
revised: 05 02 2024
received: 29 10 2023
accepted: 08 02 2024
medline: 22 2 2024
pubmed: 22 2 2024
entrez: 22 2 2024
Statut: aheadofprint

Résumé

Diagnosis of rumination syndrome (RS) relies on Rome IV criteria. Oesophageal high-resolution impedance manometry (HRIM) can objectively demonstrate the episodes of rumination, but its role in the diagnostic pathway is not yet established. We aimed to demonstrate the clinical contribution of this tool for the timely diagnosis of RS and diagnostic work-up of children with unexplained foregut symptoms deemed to be due to other conditions. HRIMs performed between 2012 and 2021 were searched to retrieve all diagnoses of RS. Medical records were reviewed for clinical data. Out of 461 HRIMs performed, 76 children had manometric diagnosis of RS (35 male, median age: 13 years). Of them, 47% were not clinically suspected as the symptoms did not fulfil clinical criteria for RS. The indications for HRIM in these cases were investigation of unexplained foregut symptoms (37%), suspected refractory gastroesophageal reflux disease (8%) and dysphagia (2%). Among all HRIMs performed for investigations of unexplained foregut symptoms (n = 80), 35% demonstrated rumination episodes. Identification of characteristic patterns of rumination on HRIM in children with unexplained foregut symptoms enables the immediate diagnosis of RS. Thus, in situations of diagnostic uncertainty, the use of HRIM at early stages of the diagnostic pathway would reduce unnecessary investigations and treatments.

Identifiants

pubmed: 38385686
doi: 10.1002/jpn3.12164
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : None

Informations de copyright

© 2024 European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.

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Auteurs

Maria Giovanna Puoti (MG)

Department of Paediatric Gastroenterology, Division of Neurogastroenterology and Motility, Great Ormond Street Hospital, London, UK.
Department of Paediatric Gastroenterology and Hepatology, Santobono-Pausilipon Children's Hospital, Naples, Italy.

Mark Safe (M)

Department of Paediatric Gastroenterology, The Royal Children's Hospital, Melbourne, Australia.

Nikhil Thapar (N)

Department of Gastroenterology, Hepatology and Liver Transplant, Queensland Children's Hospital, Brisbane, Australia.
Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Woolworths Centre for Child Nutrition Research, Quuensland University of Technology, Brisbane, Queensland, Australia.

Teresa Di Chio (T)

Paediatric Unit, Paediatric Institute of Southern Switzerland, Bellinzona, Switzerland.

Elena Sofia Pieri (ES)

Department of Paediatrics, University of Perugia, Perugia, Italy.

Kornilia Nikaki (K)

Department of Paediatric Gastroenterology, Division of Neurogastroenterology and Motility, Great Ormond Street Hospital, London, UK.

Keith Lindley (K)

Department of Paediatric Gastroenterology, Division of Neurogastroenterology and Motility, Great Ormond Street Hospital, London, UK.

Anna Rybak (A)

Department of Paediatric Gastroenterology, Division of Neurogastroenterology and Motility, Great Ormond Street Hospital, London, UK.

Osvaldo Borrelli (O)

Department of Paediatric Gastroenterology, Division of Neurogastroenterology and Motility, Great Ormond Street Hospital, London, UK.
Stem Cells and Regenerative Medicine, University College London Institute of Child Health, London, UK.

Classifications MeSH