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Preliminary investigation of the diagnosis of neonatal congenital esophageal atresia using high-resolution ultrasonography: a report of three cases
- Source :
- Journal of pediatric surgery. 48(4)
- Publication Year :
- 2012
-
Abstract
- Objective To investigate the clinical value of high-resolution ultrasonography (US) in the diagnosis of neonatal congenital esophageal atresia. Materials and Methods Longitudinal or oblique mediastinal and abdominal scans were performed using a high-frequency, linear array Philip IU22 probe of 5–13MHz to measure the length and diameter of the upper and lower esophageal pouches, as well as the gap length. Results Three neonates with esophageal atresia received surgical treatment. For each case, the length and diameter of the blind upper and/or lower esophageal pouches were measured by ultrasonography. The gaps in two of three cases were long (>3cm), and in one case, it was short ( Conclusions High-resolution ultrasonography can demonstrate clearly the upper and lower pouches, as well as wall features, and has a clear advantage in measuring the length of the lower esophageal pouch and the gap, which is impossible with plain radiography and esophagography. The drawback is that ultrasonography failed to clearly demonstrate the fistula between the esophagus and the trachea. Despite this, high-resolution ultrasonography is a promising modality in the clinical diagnosis of esophageal atresia.
- Subjects :
- Male
medicine.medical_specialty
business.industry
Fistula
Infant, Newborn
General Medicine
medicine.disease
medicine.anatomical_structure
Congenital Esophageal Atresia
Esophagography
Clinical diagnosis
Atresia
Pediatrics, Perinatology and Child Health
Medicine
Humans
Surgery
High resolution ultrasonography
Female
Radiology
Ultrasonography
Esophagus
business
Esophageal Atresia
Subjects
Details
- ISSN :
- 15315037
- Volume :
- 48
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of pediatric surgery
- Accession number :
- edsair.doi.dedup.....e49355b6a04b99cd777e33590badbc32