Utility of trans-abdominal ultrasonography for diagnosing gastroesophageal reflux disease (GERD) induced esophagitis: well designed and pervasive though but not broadly used

Document Type: Original article

Authors

1 Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

2 Department of Gastroenterology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Radiology, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Introduction: Gastro esophageal reflux disease is one of the most common diseases in adult. Ultrasonography is a noninvasive and reliable diagnostic tool for the disease at least in infant but the the diagnostic value in adults has not been evaluated well.
Methods: A total of 72 patients complaining form gastro esophageal reflux disease symptoms and undergone upper endoscopy were recruited for this study. In abdominal sonogarphy following variables were measured or observed: esophageal wall thickness at gastroesophageal junction, AP diameter of esophagus at hiatus and gastro esophageal junction, abdominal esophagus length, funnel shape esophagus and presence of reflux after drinking a glass of water.
Results: Among all variables, only the presence of reflux in sonography was significantly related to the positive endoscopic findings with a sensitivity of 45% and specificity of 86%.
Conclusion: sonography can predict induced esophagitis by gastro esophageal reflux disease induced

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