Clinical and Radiological Analysis of Gastroesophageal Reflux in Children
- VernacularTitle:儿童胃食管返流的检查方法及临床X线分析
- Author:
Huaxing QIU
- Publication Type:Journal Article
- Keywords:
gastroesophageal reflux;
children;
radiography
- From:
Journal of Practical Radiology
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To make a further understanding of gastroesophageal reflux(GER) by analyzing its clinical and imagingmanifestations.Methods The clinical data and X-ray findings of 132 cases of GER were retrospectively analyzed.Barium mealexamination in erect position were performed in 132 patients with GER,of them esophageal dynamic radiography(EDR) was also carried out in 35.The cases were classified with X-ray typing(0-Ⅴ grade).Results According to the heights reached by the refluxes in the esophagus,GER were divided into Grade Ⅰ(29/132,22%),Grade Ⅱ(58/132,44%),Grade Ⅲ(21/132,16%),Grade Ⅳ(15/132,11%),Grade Ⅴ(9/132,7%).There were 102 cases with vomitting,27 cases with esophagitis,9 cases with hiatal hernia,1 case with hypertrophic stenosis of pylorus,6 cases with gastritis or inflammation of the duodenal bulb and 22 cases with stomach empty slowly.Conclusion Barium meal examination and EDR is simple,and easily accepted by children.It can directly discover GER.The results indicate that barium meal X-ray examination is of considerable importance in diagnosing GER of children.The gastrointestinal barium meal series and EDR should be selected to the patients with clinically suspected gastroesophageal reflux in children.
