Journal of the Korean Pediatric Society 1990;33(11):1548-1556.
Published online November 30, 1990.
A Study of Ultrasonographic findings in Children with Gastrointestinal Symptoms.
Dong Lag Choi1, Kwang Sup Kim1, Jong Wang Kim1, Duk Kyu Kim1, Kwang Nam Kim1, Ki Yang Ryoo1, Hyo Keun Lim2
1Department of Pediatrics, College of Medicine, Hallym Unversity, Seoul, Korea
2Department of Radiology, College of Medicine, Hallym Unversity, Seoul, Korea
위장관증상을 동반한 환아의 초음파검사에 대한 연구*
최동락1, 김광섭1, 김종완1, 김덕규1, 김광남1, 유기양1, 임효근2
1한림대학교 의과대학 소아과학교실
2한림대학교 의과대학 방사선과학교실
Received: 16 June 1990   • Accepted: 4 September 1990
Abstract
We analyzed retrospectively the sonographic findings in 162 children who accompanied with gastrointes- tinal symptoms and performed the comparative analysis of the clinico-pathologic findings to sonographic findings from Jan. 1988 to July 1989. The most frequent symptom was abdominal pain (79.6%). The clinical impression prior to ultrasonography were acute appendicitis (34%), mesenteric lymphadenitis (10.4%), hyper- trophic pyloric stenosis (5%) in order. Positive cases in the ultrasonography were 77 (47.5%). Among these findings, acute appendicitis was 12.3%, mesenteric lymphadenitis 6.1%, intussusception 4.9%, hypertrophic pyloric stenosis 3% in order. Among patients though to have acute appendicitis clinically (N = 55), 20 patients were positive in the ultrasonography. According to correlation with surgical-pathologic findings (N = 22), ultrasonography showed that sensitivity was 90%, specificity 94%,and diagnostic accuracy 93%. The results show that ultrasonography is useful screening method in the detection and differentiation of intraabdominal pathology in the patients with gastrointestinal symptoms.
Key Words: Gastrointestinal symptoms, Abdominal ultrasonography




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