Fig. 1
Clinical yield of esophagogastroduodenoscopy (EGD) and 24 h pH-impedance (pH-MII) testing in children that were referred for (A) dysphagia; (B) gastroesophageal reflux (GER) symptoms: regurgitation and/or heartburn; or (C) a combination of GER and dysphagia symptoms. For each performed test, we assessed if test results changed management decisions. Note that esophageal dilations in patients were not considered a change in management, as it is unclear whether these patients would also undergo a dilation based on contrast esophagogram results, if an EGD would not have been performed. EGD, esophagogastroduodenoscopy; PEG, percutaneous endoscopic gastrostomy; pH-MII, pH multichannel intraluminal impedance test; PPI, proton pump inhibitor; TEF, tracheo-esophageal fistula.

Clinical yield of esophagogastroduodenoscopy (EGD) and 24 h pH-impedance (pH-MII) testing in children that were referred for (A) dysphagia; (B) gastroesophageal reflux (GER) symptoms: regurgitation and/or heartburn; or (C) a combination of GER and dysphagia symptoms. For each performed test, we assessed if test results changed management decisions. Note that esophageal dilations in patients were not considered a change in management, as it is unclear whether these patients would also undergo a dilation based on contrast esophagogram results, if an EGD would not have been performed. EGD, esophagogastroduodenoscopy; PEG, percutaneous endoscopic gastrostomy; pH-MII, pH multichannel intraluminal impedance test; PPI, proton pump inhibitor; TEF, tracheo-esophageal fistula.

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