Abstract
The oeso-gastric junction, the abdominal oesophagus and the gastroesophageal reflux (GER) are easily seen by ultrasound examination. We studied 91 children under 3 years, control or suffering from GER, the examination were performed by one operator using a real time echograph and a 5 or 7 mHz transducer, placed in the epigastrum, to obtain a longitudinal section of the abdominal oesophagus.
The examination is then carried out over 20 minutes by continuous scanning immediately after a liquid meal. The length and the thickness of oesophagus are measured and the number of important GER. 37 children had others examinations : baryum examination (n = 23) endoscopy (n = 17), pH metry (n = 29). In most examination in control children, the oesophageal length was more than 15 mn, thickness less than 8 mn, a few GER happened, less than 4 before 2 months, 3 before 6 months, 2 before a year and 1 beyond.
In our experience, every pathologic baryum examination or endoscopy (hiatal hernia or severe eosophagitis) has been confirmed by echography, oesophagitis in the form of esophageal thickness enhancement, cardial malposition in the form of length lessening. In the same way, every pathologic pH metry was confirmed by an enhancement of the GER number. We propose oesophagus echography as the first examination of the oesogastric junction, replacing baryum examination, preceding or avoiding in case of normality, endoscopy or pH metry.
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Oarda, M., Mouterda, O., Eurin, D. et al. 75 ULTRASOUND OBSERVATION OF OESO-GASTRIC JUNCTION. Pediatr Res 24, 417 (1988). https://doi.org/10.1203/00006450-198809000-00098
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DOI: https://doi.org/10.1203/00006450-198809000-00098