Research Article

Comparison of barium swallow and ultrasound in diagnosis of gastro-oesophageal reflux in children.

Br Med J (Clin Res Ed) 1985; 290 doi: (Published 29 June 1985) Cite this as: Br Med J (Clin Res Ed) 1985;290:1943
  1. D R Naik,
  2. A Bolia,
  3. D J Moore


    Fifty one infants and older children with suspected gastro-oesophageal reflux entered a study comparing the diagnostic accuracy of a standard barium swallow examination with that of ultrasound scanning. All children were examined by both techniques. In 40 cases there was unequivocal agreement between the examinations. Of the remaining patients, four had definite reflux by ultrasonic criteria but showed no evidence of reflux on barium swallow examination, four had positive findings on ultrasound but showed only minimal reflux on barium swallow, and one showed minimal reflux on ultrasound but had a negative barium meal result. In two children the ultrasound study was inconclusive. Ultrasound has an important role in the diagnosis and follow up of patients under the age of 5 years with gastro-oesophageal reflux.