GASTROESOPHAGEAL REFLUX - ULTRASONOGRAPHY
Abstract
The purpose of this study is the evaluation of the diagnostic accuracy of ultra sonography in detecting Gastroesophageal Reflux (GER) in children. 52 infants and children 5 days to 10 years old were controlled. The results were compared with these of barium meal (Β.Μ.). Complete agreement of both methods was found in 42 patients. 5 children showed in ultrasonography GER while in 3 of them Β.Μ. was negative and 2 showed low-grade GER. 2 children had minimal ultrasonographic findings and positive Β.Μ. examination. Finally the ultrasonographic findings of 3 children were obscure, while Β.Μ. showed in 2 GER and 1 negative. We believe that ultrasonography is a reliable method for detection GER (as well as Β.Μ.).
References
Silver, Kempe and Fulginiti's Handbook of Pediatrics (1991).
Alford ΒΑ, Mcllhenny J. The child with acute abdominal pain and vomiting. Radiol Clin North Am 30:441, 1992.
Sondheimer JM, Morris BA. Gastrooesophageal reflux among severely retarded children. J. Pediatr. 1979, 94:710.
Berquit WE, et al. Achalasia: diagnosis, managment and clinical course in 16 children. Pediatrics 1983, 71:798.
The «Trumpeting Elephant» sign of Gastroesophageal Reflux. Radiology 1988. 167:138.
Naik DK, Moore DJ: Ultrasound diagnosis of gastrooesophageal reflux. Arch Dis Child 59:366, 1984.
Paul Α, Dubbins Α.Ε.Α. Joseph. Ultrasound in Gastroenterology 1994, 30.
Bray P.F. (1997). Cl1ildhood gastrooesophageal reflux JAMA 237:1342-1351.
Swischuk LE, Fawcett HD, Hayden CK Jr. ct al. Gastroesophageal reflux. How much imaging is required. Radiographics 8:1137- 1145, 1988.
Β. Κ. Κατσαρός, Μ. Τσαγκατάκης, Μ. Καλογέρης, Α. Θανή, Θ. Πατσούρας. Συγκριτική μελέτη του βαριούχου γεύματος και της υπερηχογραφίας στη διάγνωση της γαστροοισοφαγικής παλινδρόμησης στα παιδιά. Ελληνική Ακτινολογία, Τόμος 27, αριθ. 3:271.