From: Apparent Life-Threatening Events (ALTE): Italian guidelines
Diagnostic investigation | When to perform it |
---|---|
pH-monitoring, or better, pH- impedance if available | - suspected recurrent aspiration pneumonia - unexplainable apnoeas or inflammation of the upper airways or non-epileptic simil-convulsive episodes or apparent Sandifer Syndrome |
Upper endoscopy | - reported haematemesis not caused by ingested blood - persistent regurgitation after the first year of life - prolonged refuse to eat or persistent poor growth associated with regurgitation - unexplainable iron-deficiency anaemia - suspected Sandifer Syndrome |