US in the diagnosis of gastroesophageal reflux in children

Sereno, Alessandra; Cecamore, Cristina; Matronola, M; Verrotti, Alberto; Mohn, Angelika; Chiarelli, Francesco; Pelliccia, Piernicola

doi:10.1007/s00247-012-2344-z

Cited by 29 publications

(20 citation statements)

References 39 publications

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“…The role of delayed gastric emptying in GER(D) remains controversial. Ultrasound provides morphological and functional data with high sensitivity and positive predictive value for the diagnosis of GER [102]. Sonographic assessment of findings such as abdominal esophageal length, esophageal diameter, esophageal wall thickness, and gastroesophageal angle provide important diagnostic indicators of reflux and related to the degree of GER [102].…”

Section: Diagnosismentioning

confidence: 99%

Gastroesophageal Reflux

Vandenplas¹

2015

Textbook of Pediatric Gastroenterology, Hepatology and Nutrition

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Section: Diagnosismentioning

confidence: 99%

Gastroesophageal Reflux

Vandenplas¹

2015

Textbook of Pediatric Gastroenterology, Hepatology and Nutrition

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“…The BS, the oldest diagnostic method used in this category, can evaluate the mu- cosal alterations and the anatomical abnormalities [22]; additionally, it can provide a good representation for classifying the severity of reflux [26,27].…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms and signs associated with GERD are nonspecific, hence a clinical diagnosis of GERD cannot be used in infants and children who cannot reliably express the quality and quantity of their symptoms [22]. As a result, diagnostic tests are needed to document the presence of GERD, to detect the complications, to establish a causal relationship between severity of GERD and symptoms, to evaluate the therapy, and to exclude other conditions [23].…”

Section: Discussionmentioning

confidence: 99%

A comparison between gastroesophagheal ultrasonography vs. barium swallow in determining the pattern of gastroesophageal reflux in a pediatric population

et al. 2015

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Background: Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal pathology in infants and young children. Ultrasonography (US) has been considered to be a reliable diagnostic tool for GERD but the severity of GERD and the clinical implications based on imaging findings has not been evaluated. Aims: To compare the diagnostic value of lower esophageal US with that of barium swallow in demonstrating the severity of GERD. Materials and methods: Fifty one pediatric patients, age between 1 month to 12 years, 34 male and 17 female with clinical suspicion of GERD were included. The patients were initially submitted to barium swallow (BS) and subsequently to transabdominal US. During BS, the number of gastroesophageal reflux episodes was documented in a 5-minute period. Transabdominal US documented the number and duration of reflux episodes during a 5-minute period, the angle of His, mucosal thickness, and intraabdominal esophageal length (IAEL). Results: Duration and number of reflux episodes in US were significantly higher in patients that had severe gastroesophageal refluxes at BS. At US the cutoff point of 9.5 seconds (sensitivity 80%, specificity 60%) for reflux duration and more than 2 episodes in 5 minute ultrasound study (sensitivity 75%, specificity 58%) were defined to correlate with severe gastroesophageal reflux at BS.The angle of His, the esophageal wall mucosal thickness, and the IAEL did not correlate with the severity of GERD detected in BS. Conclusion: US can predict the severity of GERD. Therefore, except in the case of specific patients in whom mechanical causes are suspected to be responsible for GERD, BS can be replaced by US.

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“…In cases of GER we always continue the contrast examination to the ligament of Trietz to exclude distal pathology, including obstruction of pyloric channel, duodenal stenosis and intestinal malrotation a b (5). US of GEJ can also be considered in the evaluation of GER (25). In hiatal hernia the GEJ is situated in the thorax together with part of the stomach ( Fig.…”

Section: Disorders Of Gejmentioning

confidence: 99%

A Pictorial Essay on Radiography of Swallowing and Esophageal Disorders

Ključevšek¹

2015

Pediatr Today

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Numerous abnormalities, both of congenital and acquired causes, can compromise the swallowing process and the ability of the esophagus to transmit the food from the mouth to the stomach in pediatric population. Patients often present a history of aspiration, dysphagia or feeding difficulties. The imaging evaluation typically begins with a fluoroscopic examination of the swallowing process and esophagus (esophagram), using either barium or water soluble contrast medium. This pictorial essay delineates the imaging features of normal anatomy and physiology of the swallowing and the esophagus, as well as the imaging features of common pediatric swallowing dysfunctions and various esophageal abnormalities. It is designed in order to assist radiologists in providing an appropriate diagnosis when confronted with a suspected disease in this anatomic region, and when appropriate, what additional testing to recommend. It is also designed to inform pediatricians about the wealth of diagnostic information that may be collected when performing an esophagram; a relatively simple radiographic examination. Conclusion -Radiographic imaging of swallowing and the esophagus remains the primary imaging modality in patients with a history of aspiration, dysphagia and feeding problems. It offers valuable diagnostic information related to anatomy, morphology and peristalsis.

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US in the diagnosis of gastroesophageal reflux in children

Cited by 29 publications

References 39 publications

Gastroesophageal Reflux

Gastroesophageal Reflux

A comparison between gastroesophagheal ultrasonography vs. barium swallow in determining the pattern of gastroesophageal reflux in a pediatric population

A Pictorial Essay on Radiography of Swallowing and Esophageal Disorders

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