Echosonographic investigation of stomach in children with combined gastroesophageal reflux disease and chronic gastroduodenal pathology
Abstract
The high incidence of combined gastroesophageal reflux disease (GERD) and chronic gastroduodenal pathology in children of different age groups necessitates the search for non-invasive research methods that visualize gastroesophageal reflux.
Objective — to compare the results of echosonographic investigations of the stomach in children with combined GERD and chronic gastroduodenal pathologies with endoscopic ones.
Material and methods. 64 children aged from 10 to 18 years with combined GERD and chronic gastroduodenal pathologies were examined. Diagnoses were made basing on the complaints, case histories and objective examination with the help of ICD-10, and verified by upper endoscopy. Echosonographic investigation of the stomach was carried out.
Results. The frequency of revealing gastroesophageal and duodenogastric refluxes did not differ during endoscopic and echosonographic investigations. The frequency of revealing the signs of chronic gastritis during echosonographic investigation was statistically less than that of the same pathology during endoscopic investigation.
Conclusions. Echosonographic investigation of the stomach reveals gastroesophageal and duodenal refluxes with high precision. It can be recommended for using in different age groups of children due to its low invasiveness and can be performed to estimate the effectiveness of correction of motor disorders of the upper divisions of the digestive tract.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee (LEC) of institution. The informed consent of the patient was obtained for conducting the studies.
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