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Ultrasonographic Imaging of the Esophago-Gastric Junction

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Gastrointestinal Tract Sonography in Fetuses and Children

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Until the advent of the ultrasonographic investigation of the gastroesophageal re. ux (GER) proposed by Naik and Moore in 1984 and many others after Wright et al. (1988), imaging of the esophago-gastric junction (EGJ) required some invasive methods, such as the conventional irradiating barium upper gastrointestinal tract opaci. cation or endoscopic investigation that required sedation. It has been clearly demonstrated that the upper gastrointestinal conventional barium exploration has a poor sensitivity against reflux disease (43%), and, for this reason, many authors suggest starting with an endoscopic investigation or 24-h pH monitoring. Barium examination can sometimes still be reserved for some patients under 1 year of age, for those undergoing surgery and, finally, for those with negative pH monitoring but who are strongly suspected of suffering from a pathological reflux (Al-Khawari et al. 2002). Ultrasound has a better sensitivity than barium studies in detecting small hernia. In addition, functional data can also be acquired by this technique.

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Authors and Affiliations

  1. Service de Radiologie Pédiatrique, Hôpital Arnaud de Villeneuve, 371 Av. Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France

    Jean Louis Ferran MD

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  1. Jean Louis Ferran MD
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© 2008 Springer-Verlag Berlin Heidelberg

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Ferran, J.L. (2008). Ultrasonographic Imaging of the Esophago-Gastric Junction. In: Gastrointestinal Tract Sonography in Fetuses and Children. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68917-1_2

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  • DOI: https://doi.org/10.1007/978-3-540-68917-1_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-43852-6

  • Online ISBN: 978-3-540-68917-1

  • eBook Packages: MedicineMedicine (R0)

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