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[Ultrasonography of the esophagus in children]

P Le Dosseur1, L Moutounet, D Eurin

  • 1Service de Radiopédiatrie, Hôpital Charles Nicolle, Rouen.

Annales De Radiologie
|January 1, 1994
PubMed

Insights

Ultrasonography (US) in children primarily excludes gastro-esophageal reflux (GER), aiding diagnosis for chronic infections. It is not recommended for obvious GER or esophagitis due to poor sensitivity and severity assessment.

Area of Science:

  • Pediatric Gastroenterology
  • Diagnostic Imaging
  • Otolaryngology

Background:

  • Chronic ENT and respiratory infections in children can be linked to gastro-esophageal reflux (GER).
  • Ultrasonography (US) is a non-invasive imaging modality used in pediatric diagnostics.

Purpose of the Study:

  • To evaluate the role of esophageal ultrasonography in diagnosing and managing pediatric gastro-esophageal reflux.
  • To determine the utility of US in children with chronic ear, nose, and throat (ENT) and/or respiratory tract infections.

Main Methods:

  • Esophageal ultrasonography was performed in pediatric patients.
  • Clinical presentation, treatment response, and further investigations were considered.

Main Results:

  • US is effective in excluding GER as a cause of chronic infections.
  • US is not sensitive for detecting esophagitis or assessing GER severity.
  • US can identify hiatus hernia when reflux persists despite treatment.

Conclusions:

  • Ultrasonography is valuable for ruling out GER in children with chronic ENT/respiratory issues.
  • US is not a first-line investigation for clinically obvious GER or suspected esophagitis.
  • Further investigation for allergy or immune deficiency is needed if US is negative.

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