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Twenty-four-hour pH monitoring is a reliable and secure method for use in the diagnosis of gastroesophageal reflux (GER). Compared with other methods, this technique is well tolerated and without complications. In contrast to other techniques (cineradiography, manometry, scintiscanning, endoscopy), long-term pH monitoring is the only method to measure the dynamics in the distal esophagus under nearly physiological conditions and to register the data obtained via pen writer for any time desired. Thus, 24-h pH monitoring is the most sensitive and expressive method for the diagnosis of GER in childhood, providing more secure operative indications combined with other methods.
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