[Gastroesophageal reflux in children. A combined radiologic and scintigraphic study].
Thirty-one children examined for gastroesophageal (GE) reflux were studied with both barium meal X-ray and gastroesophageal scintigraphy. The study was performed with a double-blind method. The children with negative findings at both tests were submitted to intraluminal esophageal pH probe test. Barium X-ray detected GE reflux in 17/27 patients, whereas radionuclide scintigraphy was positive in 24/27 (positivity: 63% versus 89%; p less than 0.05). Their combined use provided positive findings in 26/27 cases. Scintigraphy appeared to be a safe and reliable screening test to detect GE reflux. Moreover, scintigraphy was superior to barium X-ray study for it had higher diagnostic accuracy, it could be easily performed on young patients, and delivered smaller radiation doses.
Laudizi
L
L
Clinica Pediatrica, Università, Modena.
Zaniol
P
P
Venuta
A
A
Pantusa
M
M
Sturloni
N
N
Laudizi
Z
Z
D001466:Barium Sulfate; D002648:Child; D002675:Child, Preschool; D004311:Double-Blind Method; D004947:Esophagus / Q000503:physiopathology; D005069:Evaluation Studies as Topic; D005260:Female; D005764:Gastroesophageal Reflux / Q000000981:diagnostic imaging*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007223:Infant; D008297:Male; D011859:Radiography; D011877:Radionuclide Imaging; D013671:Technetium Tc 99m Sulfur Colloid; D013997:Time Factors
D001466:Barium Sulfate; D013671:Technetium Tc 99m Sulfur Colloid
Il reflusso gastroesofageo nel bambino. Studio combinato radiologico e scintigrafico.