Objectively diagnosing rumination syndrome in children using esophageal pH-impedance and manometry.
M M J SingendonkJ M OorsA J BredenoordT I OmariR J van der PolM J SmitsM A BenningaMichiel P van WijkPublished in: Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society (2017)
Combined 24-hour pH-MII and manometry can be used to diagnose rumination syndrome in children and to distinguish it from GERD. Rumination patterns in children are similar compared with adults, albeit with lower gastric pressure increase. We propose a diagnostic cutoff for gastric pressure increase >25 mmHg associated with retrograde bolus flow into the proximal esophagus.