[Ultrasonography in differential diagnosis of recurrent abdominal pain in children]

Area of Science:

• Pediatric Gastroenterology
• Diagnostic Imaging
• Hepatobiliary System Imaging

Background:

• Pediatric gastric pain diagnosis is often challenging using traditional clinical and laboratory methods.
• Early and accurate topical diagnosis of painful syndromes in children is frequently impeded.

Purpose of the Study:

• To evaluate the diagnostic potential of ultrasonography in pediatric patients presenting with gastric pain.
• To explore the correlation between echographic findings and other diagnostic indicators.

Main Methods:

• Echographic examination of 863 children with gastric pains.
• Ultrasonography of the gallbladder, intra- and extrahepatic bile ducts, liver, and pancreas.
• Correlation analysis between echographic signs, bile biomarkers, and duodenal mucosa status (via esophagogastroduodenoscopy).

Main Results:

• Ultrasonography demonstrated significant potential in diagnosing the causes of gastric pain in children.
• The study established correlations between echographic findings and biochemical/microscopic bile indicators.
• Echographic data was linked to the condition of the duodenal mucosa.

Conclusions:

• Echography is a valuable tool for the differential diagnosis of gastric pain in pediatric populations.
• Ultrasonography offers a comprehensive approach to evaluating the hepatobiliary system and related structures in children with abdominal pain.
• Integrating echography with other diagnostic methods enhances diagnostic accuracy for pediatric gastric pain.