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Stridor and gastroesophageal reflux: Diagnostic use of intraluminal esophageal acid perfusion (Bernstein Test)
Author(s) -
Orenstein Susan R.,
Kocoshis Samuel A.,
Orenstein David M.,
Proujansky Roy
Publication year - 1987
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.1950030608
Subject(s) - medicine , stridor , reflux , esophageal ph monitoring , gold standard (test) , gastroenterology , perfusion , endoscopy , radiology , gerd , surgery , disease , airway
Five pediatric patients with stridor were evaluated to determine whether gastroesophageal reflux (GER) contributed to their stridor. Intraluminal esophageal acid perfusion (Bernstein test), pH probe, radiographic studies, laryngobronchoscopy, and esophageal histology were utilized. Thereafter, three of the five patients responded to therapy for GER; two did not. The Bernstein test proved to have greater diagnostic reliability than any other test employed, using response to antireflux therapy as the “gold standard” for diagnosing reflux‐provoked stridor.