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Pediatric Radiology
Erschienen in: Pediatric Radiology 5/2012

01.05.2012 | Review

US in the diagnosis of gastroesophageal reflux in children

verfasst von: Alessandra Savino, Cristina Cecamore, Maria Ferrina Matronola, Alberto Verrotti, Angelika Mohn, Francesco Chiarelli, Piernicola Pelliccia

Erschienen in: Pediatric Radiology | Ausgabe 5/2012

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Abstract

Several techniques have been used to diagnose gastroesophageal reflux (GER) in children, but no single test is sufficiently accurate to completely investigate the problem. Gastroesophageal US has been described as a widely available, noninvasive and sensitive method. It provides morphological and functional information, but its role in the diagnosis of GER in children is still debated. In this paper we review diagnostic approaches to GER in children. We focus on current use of US in the management of children with suspected GER. Reports suggest that US allows exclusion of several non-GER causes of symptoms and that it provides morphological and functional data with high sensitivity and positive predictive value for the diagnosis of GER. Sonographic assessment of findings such as abdominal esophageal length, esophageal diameter, esophageal wall thickness and gastroesophageal angle provide important diagnostic indicators of reflux and related to the degree of GER. There is a need for standardization of the procedure and for defining diagnostic criteria.
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Metadaten
Titel
US in the diagnosis of gastroesophageal reflux in children
verfasst von
Alessandra Savino
Cristina Cecamore
Maria Ferrina Matronola
Alberto Verrotti
Angelika Mohn
Francesco Chiarelli
Piernicola Pelliccia
Publikationsdatum
01.05.2012
Verlag
Springer-Verlag
Erschienen in
Pediatric Radiology / Ausgabe 5/2012
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-012-2344-z

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