Duodenitis in children: correlation of radiologic findings with endoscopic and pathologic findings

Radiology
F R LongC A Liacouras

Abstract

To determine the accuracy of barium studies in the diagnosis of duodenitis in children. Seventy-five children (45 boys and 30 girls; mean age, 9 years) underwent upper gastrointestinal (GI) examinations. Twenty-four of the children had biopsy-proved duodenitis, and 51 were healthy control subjects. Radiologic findings were reviewed by two experienced, blinded observers and correlated with endoscopic and histologic results. Duodenal mucosal-fold thickness was measured on spot radiographs (20% magnification), and the extent of disease was evaluated. Of 15 children with mild duodenitis, 13 had normal radiologic findings and 11 had normal findings at esophagogastroduodenoscopy. Of nine children with severe duodenitis, all had friability or ulceration at endoscopy and mucosal-fold thickening of greater than or equal to 4 mm (> or = 3 mm in one infant aged less than 1 year) at upper GI examination. Mucosal-fold thickening was diffuse in patients with celiac, autoimmune, and adenovirus disease and was proximal in patients with peptic ulcer and Crohn disease. Of 51 control subjects, 50 had normal radiologic results, while 47 had normal endoscopic results. The sensitivity of upper GI examination for mild and severe duodenitis combined w...Continue Reading

Citations

Aug 8, 2015·Journal of Pediatric Gastroenterology and Nutrition·Arik AlperDinesh S Pashankar
Dec 3, 2004·Neurosurgery·Carlo SantaguidaRolando F Del Maestro
Jan 28, 2020·Fetal and Pediatric Pathology·Khadiga Mohamed AliTarik Barakat
Feb 22, 2017·World Journal of Gastroenterology : WJG·Erin D BoscheeJustine M Turner
Dec 2, 2004·Pediatric Emergency Care·Leonard E Swischuk

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