Assessment of Gastroesophageal Reflux in Children(2-12 Month) Based on Clinical Findings and Ultrasonography

Gastroesophageal reflux is a common gastrointestinal disorder among infants، which can cause complications، such as esophagitis and Barrett''s esophagus if its diagnosis and treatment are delayed. On the other hand، similarity of Gastro esophageal Reflux symptoms with symptoms of other childhood diseases makes its diagnosis and treatment difficult. So a proper tool for early screening and diagnostic test is essential. This study was conducted on 221 infants (2 to 12 months) with initial symptoms of gastro esophageal reflux (frequent vomiting، restlessness after feeding، no weight gain، coughing repeatedly and refusing to eat) that referred to pediatric Clinic of Rajai Hospital in Tonekabon. Data was collected with demographic and infant gastro esophageal reflux questionnaire by use of the information in records and interview with parents. Then the samples were examined via sonography for gastroesophagial reflux. After initial screening based on infants gastro esophageal reflux tool، gastro esophageal reflux by ultrasound was positive in 63/3% of infants. The mean esophageal diameter was (20/73±2/54mm) in infants with gastro esophageal reflux and (23/71±2/35mm) in infants without gastro esophageal reflux. Due to the similarity of gastro esophageal Reflux symptoms with clinical symptoms of other childhood diseases، use of an initial screening measurement for early assessment of gastro esophageal reflux in infants is necessary. Moreover، appropriate، available and low costs diagnostic method with little complication seems essential such as ultrasonography for confirm diagnosis and early treatment.