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Predicting pediatric esophageal wall thickness: An EUS study.

Simon S Rabinowitz1, Evan Grossman2, Lisa Feng1

  • 1Division of Pediatric Gastroenterology, Children's Hospital at Brooklyn, New York, USA.

Endoscopic Ultrasound
|August 18, 2020
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Summary

Endoscopic ultrasound (EUS) shows that esophageal wall thickness in children increases with age and height. These findings help interpret EUS measurements for pediatric eosinophilic esophagitis (EoE) diagnosis.

Keywords:
EUSesophaguspediatrics

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Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy
  • Esophageal Diseases

Background:

  • Eosinophilic esophagitis (EoE) is associated with increased esophageal wall thickness (TWT).
  • Endoscopic ultrasound (EUS) can measure TWT, but normative data in children are needed.
  • Previous studies showed EUS-detectable TWT increases in pediatric and adult EoE.

Purpose of the Study:

  • To establish normative EUS-derived TWT measurements in children.
  • To correlate esophageal TWT with age and height in a pediatric cohort.
  • To provide a basis for interpreting TWT in pediatric EoE research and clinical practice.

Main Methods:

  • Thirty children (7 months–20 years) without EoE underwent EUS with a 20 MHz miniprobe.
  • Esophageal TWT, mucosa, and submucosa were measured in the mid- and distal esophagus.
  • Measurements were taken immediately prior to diagnostic biopsies.

Main Results:

  • Esophageal TWT significantly increased with both age (P < 0.001) and height (P < 0.001).
  • The mucosa and submucosa contributed over half of the total TWT.
  • No significant differences were found between mid- and distal esophageal measurements.

Conclusions:

  • EUS-derived esophageal TWT in healthy children correlates with age and height.
  • These findings provide normative data for interpreting esophageal wall thickening in pediatric EoE.
  • EUS measurements of TWT can be reliably applied throughout childhood.