Ambulatory Reflux Monitoring (pH - Impedance)

Hospital Name| Lab Name | City, State | 310-641-8492 | Description

of hospital goes here

Gender: Physician: Dr Wahbi,K.

Age: Referred by: Dr Savvidou, E

Patient:
Andriana Thekla DOB: Test Operator: Reg. N. Kogkrozi, E.
Loisou Height: Medication: Off
1299083000
Weight: Date: 07/06/2022

REFLUX MONITORING SUMMARY

[pH]Acid Exposure Summary Total Normal Upright Normal Supine Normal
Acid exposure time (%) 14,9 24,8 4,3
Longest reflux (min) 10.9 9.1 10.9

[Z]Reflux Episode Activity Summary Total Upright Supine

All reflux episodes* 83 78 5
Proximal episodes* 46 46 0
Bolus Exposure Time (%) 1,4 2,5 0,1
Bolus Exposure Time (%)(Normal) <2,3 <4,2 <1,6
* not normalized

Note:
1. pH normal values in the report are from publications wherein subjects are not taking acid suppressive medication, irrespective of the medication
selection in the Diary.
2. Impedance normal values in the report are from Zerbib et al., Clinical Gastro. & Hepato. 2013. The normal values are dependent on the medication

Andriana Thekla Loisou Date: 07/06/2022 Page: 1 of 3

 Ambulatory Reflux Monitoring (pH - Impedance)
Hospital Name| Lab Name | City, State | 310-641-8492 | Description
of hospital goes here

selection in the Diary.

REFLUX ANALYSIS BASED ON pH MEASUREMENT

Period Durations (HH:MM) Total Upright Supine

Total Time 23:13 13:02 10:10
Analysis Time 21:01 10:51 10:10

[pH]Acid Reflux Analysis Total Upright Supine

Acid exposure time (HH:MM) 03:08 02:41 00:26
Acid exposure time (%) 14,9 24,8 4,3
Number of refluxes 398 353 49
Number of long refluxes 5 4 1
Longest reflux (min) 10.9 9.1 10.9

[pH]Vandenplas Infant Score (Ch 1) Value Normal

Number of refluxes 454 <72,0
Acid Exposure Time(%) 14,9 <10,0
Number of long refluxes 6 <9,0
Longest reflux (min) 10.9 <41,0

REFLUX ANALYSIS BASED ON Z MEASUREMENT AND CLASSIFIED BASED ON pH

[Z]Normalized Reflux Episode Total Normal**

Activity*
Acid reflux 71 <40,0
Weakly acidic reflux 24 <21,0
Non-acid reflux 0 <0,0
All reflux 95 <53,0
* Episodes/24 hr.
** 95th percentile

[Z]Reflux Episode Activity Total Upright Supine

Acid reflux 62 58 4
Weakly acidic reflux 21 20 1
Non-acid reflux 0 0 0
All reflux 83 78 5

[Z]Reflux Composition Total Normal Upright Normal Supine Normal

Liquid Only 84 79 5
Mixed 1 1 0
Gas Only 10 9 1

[Z]Bolus Exposure Time Total Upright Supine

Acid reflux 00:14 00:14 00:01
Weakly acidic reflux 00:03 00:03 00:00
Non-acid reflux 00:00 00:00 00:00
All reflux 00:17 00:16 00:01
5,0 cm above LES

Andriana Thekla Loisou Date: 07/06/2022 Page: 2 of 3

 Ambulatory Reflux Monitoring (pH - Impedance)
Hospital Name| Lab Name | City, State | 310-641-8492 | Description
of hospital goes here

[Z]Proximal Reflux Count Total Upright Supine

Acid reflux 38 38 0
Weakly acidic reflux 8 8 0
Non-acid reflux 0 0 0
All reflux 46 46 0
11,0 cm above LES

[Z]Additional Analysis Parameters Value Normal

Mean Nocturnal Baseline Impedance 0,76
(MNBI,kOhm)
3,0 cm above LES

Procedure Description: 24ωρη πεχαμετρία αντιστασιομετρία οισοφάγου

Indications: Θήλυ ηλικίας 7 ετών με σ. Wolf-Hirschhorn. ΓΟΠ στο VFSS

Interpretations: Σημαντικού βαθμού ΓΟΠ

Οδηγίες: Έναρξη αγωγής με Εσομεπραζόλη 10 mg

Επανέλεγχος στη Π/Δ Πνευμονολογική Κλινική (21/07/2022 ώρα 09:00 π.μ.)

Andriana Thekla Loisou Date: 07/06/2022 Page: 3 of 3