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[Sonographic diagnosis of gastroesophageal reflux in infancy]
1Abteilung Neonatologie, Bereiches Medizin der Friedrich-Schiller-Universität Jena.
Insights
Ultrasonography can effectively diagnose gastroesophageal reflux in infants, correlating well with X-ray findings. This imaging technique offers a valuable alternative for diagnosing reflux before resorting to more invasive tests.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Diagnostic Techniques
Background:
- Gastroesophageal reflux is a frequent issue in infants.
- Current diagnostic methods include X-ray and esophageal pH monitoring.
- These methods can be invasive or less accessible.
Purpose of the Study:
- To evaluate the utility of ultrasonography for diagnosing gastroesophageal reflux in infants.
- To compare ultrasonographical findings with established diagnostic methods like X-ray.
- To determine if ultrasonography can identify pathological reflux patterns.
Main Methods:
- Investigated ultrasonographical diagnosis of gastroesophageal reflux in pediatric patients.
- Correlated ultrasonographical findings with X-ray results.
- Assessed the duration of reflux events to identify pathological patterns.
Main Results:
- Demonstrated a good correlation between X-ray and ultrasonographical findings.
- Ultrasonography shows promise as a diagnostic tool for infant reflux.
- Continuous reflux exceeding 5 minutes suggests a pathological condition.
Conclusions:
- Ultrasonography is a viable method for diagnosing gastroesophageal reflux in infants.
- It offers a non-invasive alternative to traditional diagnostic approaches.
- Ultrasonography should be considered prior to extensive diagnostic workups.
Abstract:
The gastroesophageal reflux is a common problem in the pediatric clinical practice in the 1st year of life. Its diagnosis is mainly based on the x-ray and the measurement of the esophageal pH. Our investigation shows the possibility of the ultrasonographical diagnosis of this disturbance. We could demonstrate a good correlation between the x-ray and the ultrasonographical findings. A continuous lasting gastroesophageal reflux which takes more than 5 minutes points to a pathologic reflux pattern with the well known complications. Thus, ultrasonographical investigation should perform before an extensive diagnostic is taken into consideration.