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Utility of Trans-Abdominal Ultrasonography for Diagnosis of Gastroesophageal Reflux (Gerd) Induced by Esophagitis



Aghaghazvini L1 ; Rahimi A1 ; Pourshams A2 ; Sharifian H3
Authors
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Authors Affiliations
  1. 1. Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Gastroenterology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Radiology, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Iranian Medical Council Published:2019

Abstract

Background: Gastroesophageal reflux disease is one of the most common diseases in adults. Ultrasonography (US) is a noninvasive and reliable diagnostic tool for the disease at least in infants but the diagnostic value in adults has not been evaluated well. Methods: A total of 72 patients complaining form gastroesophageal reflux disease symptoms who have undergone upper endoscopy were recruited for this study. In abdominal sonography, the following variables were measured or observed: esophageal wall thickness at gastroesophageal junction, AP diameter of esophagus at hiatus and gastroesophageal 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 gastroesophageal reflux disease induced. Copyright © 2019, Journal of Iranian Medical Council. All rights reserved.