RESUMO
BACKGROUND: Accurate catheter placement in children for esophageal pH monitoring is performed following an endoscopy using a mathematical formula followed by confirmatory radiograph. AIM: To determine if endoscopic visualization of the gastroesophageal junction can be used for sensor placement without the need for confirmatory radiograph. METHODS: Sixty-four catheters were placed using the Strobel formula method and 57 catheters were placed by visualization. RESULTS: With the formula method, 66% of children required probe adjustment compared with 7% when the probe was placed by direct visualization (p < .005). CONCLUSION: Placing pH sensors under direct visualization is accurate and reduces radiation exposure.
Assuntos
Endoscopia do Sistema Digestório/instrumentação , Endoscopia do Sistema Digestório/normas , Junção Esofagogástrica/patologia , Determinação da Acidez Gástrica/instrumentação , Gastroenteropatias/patologia , Adolescente , Arkansas , Criança , Pré-Escolar , Pesquisas sobre Atenção à Saúde , Humanos , Concentração de Íons de Hidrogênio , Lactente , Recém-Nascido , Monitorização Fisiológica/instrumentação , Monitorização Fisiológica/normas , Reprodutibilidade dos Testes , Adulto JovemRESUMO
We report the case of an 11-month-old white male who had a family history of neurofibromatosis, had multiple café-au-lait spots on the trunk and extremities, and was diagnosed with a malignant triton tumor of the rectum. To our knowledge, this is the first report of a malignant triton tumor of the rectum and one of the youngest patients reported with the tumor.
