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Gastro-esophageal reflux: comparative study between sonography and pH monitoring
1Imaging Pediatric Department, AMH, Reims, France.
Insights
Ultrasound (US) effectively assesses gastroesophageal reflux severity and treatment efficacy in infants. It is crucial for identifying damage from repeated reflux and hiatal dysfunction.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Imaging
Background:
- Gastroesophageal reflux is a common condition in infants.
- Esophagitis is a potential complication of severe reflux.
- Accurate assessment of reflux severity and hiatal function is clinically important.
Purpose of the Study:
- To evaluate the role of sonography in assessing gastroesophageal reflux.
- To determine the sensitivity of sonography in characterizing reflux severity.
- To assess the utility of ultrasound in evaluating treatment efficacy and hiatal function.
Main Methods:
- Sonography was utilized to characterize gastroesophageal reflux.
- Ultrasound was employed for assessing hiatal function and morphological data.
Main Results:
- Sonography demonstrated high sensitivity in characterizing reflux severity.
- Ultrasound proved useful in evaluating treatment efficacy.
- Reflux-induced damage was linked to repeated episodes and severe hiatal dysfunction.
Conclusions:
- Sonography is a valuable tool for screening infants at risk of esophagitis.
- Ultrasound offers indispensable morphological data and is a good alternative for assessing hiatal function.
Abstract:
Sonography appears highly sensitive in characterizing the severity of gastroesophageal reflux, screening the infants at risk of esophagitis. Sonography is also useful in evaluating efficacy of treatment. In our experience reflux is only damaging if constantly repeated and related to severe hiatal dysfunction. Ultrasound (US) is a good alternative for the assessment of hiatal function and gives furthermore indispensable morphological data.