Research Article

Esophageal Impedance-pH Monitoring and Pharyngeal pH Monitoring in the Diagnosis of Extraesophageal Reflux in Children

Table 3

Predictive value and sensitivity of the Dx-pH system versus MII-pH.

Dx-pH vs. MII-pH (proximal GER)Dx-pH vs. MII-pH (distal GER)LPR vs. pH monitoring
pHPPVSensitivityPPVSensitivityPPVSensitivity
Value (95% CI) (%)

<48.13 (0.00-18.07)2.58 (0.00-6.87)8.13 (0.00-18.07)1.41 (0.00-3.68)19.30 (2.93-35.68)2.50 (0.00-5.51)
<4.513.36 (0.30-26.41)4.13 (0.00-11.20)13.54 (0.40-26.68)2.37 (0.00-6.46)24.28 (6.51-42.05)3.39 (0.00-7.98)
<511.88 (1.24-22.52)5.21 (0.00-13.43)12.00 (1.29-22.71)2.97 (0.00-7.59)33.49 (14.79-52.19)4.53 (0.00-10.25)
<5.513.29 (3.07-23.51)7.28 (0.00-16.16)13.89 (3.46-24.32)4.31 (0.00-9.72)31.85 (14.96-48.74)6.86 (0.59-13.14)
21.55 (10.21-32.90)10.13 (0.00-23.54)22.09 (10.54-33.65)5.78 (0.00-13.20)43.17 (28.13-58.21)9.66 (0.10-19.23)

Dx-pH: pharyngeal pH monitoring; MII-pH: multichannel intraluminal pH-impedance; LPR: laryngopharyngeal reflux; GER: gastroesophageal reflux; PPV: positive predictive value.