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| Comparison of high frequency ultrasound and upper gastrointestinal barium examination in diagnosis of upper gastrointestinal obstruction in neonates |
| WANG Xiaohua, LUO Hongxia, PAN Yin, NI Shuangshuang. |
Department of Ultrasound, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027
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| Cite this article: |
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WANG Xiaohua,LUO Hongxia,PAN Yin, et al. Comparison of high frequency ultrasound and upper gastrointestinal barium examination in diagnosis of upper gastrointestinal obstruction in neonates[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2016, 46(7): 530-532.
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Abstract Objective: To explore the value of high frequency ultrasound and upper gastrointestinal barium examination for the diagnosis of upper gastrointestinal obstruction in neonates. Methods: A retrospective analysis was performed to review high frequency ultrasound and upper gastrointestinal barium examination of 245 neonates with upper gastrointestinal obstruction were confirmed by post-operative pathology in Neonatal Ward of the Second Affiliated Hospital of Wenzhou Medical University during November 2008 to July 2015. The two methods were compared in the location and the etiological factor with upper gastrointestinal obstruction respectively. Results: Between high frequency ultrasound and upper gastrointestinal barium examination, there were no significant difference in the location diagnostic accuracy with upper gastrointestinal obstruction (95.1% vs 97.1%, P>0.05), but there were significant difference in the etiological factor with upper gastrointestinal obstruction, and high frequency ultrasound were better (P<0.05), especially showed in pylorus level (including congenital hypertrophy or stegnosis of pylorus, atresia or stegnosis of pyloric canal). Otherwise in the location and the etiological factor of esophagus level obstruction, upper gastrointestinal barium examination were better than high frequency ultrasound (P<0.05). Conclusion: In the diagnosis of upper gastrointestinal obstruction, we can firstly consider high frequency ultrasound and combination of the two examination when vomiting of unknown cause in high frequency ultrasound.
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Received: 16 August 2015
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