Association of reflux with otitis media in children.

Association of reflux with otitis media in children.

Lieu JE, et al.

Otolaryngol Head Neck Surg. 2005 Sep;133(3):357-61.

Abstract
OBJECTIVES: To confirm the finding of pepsin/pepsinogen in middle ear fluid of children with chronic or recurrent otitis media (OME or ROM), and to ask parents about symptoms associated with gastroesophageal reflux (GER).

METHODS: Middle ear fluid was collected from children undergoing tympanostomy tube placement. We tested this fluid for pepsin/pepsinogen using a proteolytic enzyme assay and an ELISA. Parents completed questionnaires about symptoms of GER in their children.

RESULTS: We collected 36 samples from 22 children; 16 of 22 children (73%) were positive with the proteolytic assay; 17 (77%) were positive with ELISA. Questionnaires did not show increased GER symptoms.

CONCLUSIONS: We replicated the finding of pepsin/pepsinogen in middle ear fluid of children with OME or ROM, but did not find any increase in GER symptoms. Further research is needed to establish a causative link between GER and OM.

Source :
Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA. lieuj@ent.wustl.edu

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