Beyond gastroesophageal reflux: the value of the pediatric upper GI series

Congress:

ECR 2020

Poster Number:

C-05422

Type:

Educational Exhibit

Keywords:

Performed at one institution, Not applicable, Swallowing disorders, Congenital, Diagnostic procedure, Contrast agent-oral, Barium meal, Fluoroscopy, Paediatric, Gastrointestinal tract, Abdomen

Authors:

L. Aker, H. Issa, M. Alsalihi, S. Abusamaan; doha/QA

DOI:

10.26044/ecr2020/C-05422

DOI-Link:

https://dx.doi.org/10.26044/ecr2020/C-05422

Fig. 1: Figure 1: The normal anatomy of Upper GI series. (A)Normal lateral...

Fig. 2: Figure 2: UGI series demonstrating a persistent posterior indentation noted on...

Fig. 3: Figure 3: UGI study of a 3 month old baby boy, presented with choking during...

Fig. 4: Figure 4: An 18-month-old male patient with the history of repeated...

Learning objectives

Objectives: To review the normal anatomy of the upper GI tract obtained on an Upper GI series. To identify the most commonly encountered pathologies in UGI series performed in children. To address the information that needs to be delivered, from the perspective of the pediatric surgeon.

Background

Despite the declining number of adult Upper GI studies (UGIS) requested since the advent of endoscopy, the demand on Upper GI series in children has not dropped, as the mucosal details are not sought. UGIS remains the first line imaging modality used in the diagnostic work-up of a child presenting with recurrent chest infection, persistent vomiting, failure to thrive and dysphagia as it provides exquisite details of the anatomy and function of the upper GI that can’t be learnt from physical examination or any other...

Findings and procedure details

The technique of pediatric UGIS is not the scope of this poster, as it was discussed in details in our previous poster. [1] (Figure 1) Crico-pharyngeus Muscle Impression: Normally, a small non-obstructive posterior esophageal indentation at the level of C5-C6. [2, 3](Figure 2) Posterior Esophageal Impressions: 1. Due to Double Aortic Arch (Figure 3) 2. Due to right sided aortic arch with aberrant left subclavian artery (Figure 4) 3. Due to left sided aortic arch with aberrant right subclavian artery (Figure 5) Anterior Esophageal Impression:...

Conclusion

To recognize the various pathologies encountered in pediatric UGI fluoroscopic studies, and how to report them as needed from the referring surgeon perspective

Personal information and conflict of interest

L. Aker; Doha/QA - nothing to disclose S. Abusamaan; DOha/QA - nothing to disclose H. Issa; Doha/QA - nothing to disclose M. Alsalihi; Doha/QA - nothing to disclose

References

1.Samaan, S.A., Pediatric Upper GI Fluoroscopy: The Do’s and Don’ts, , in European Society of Pediatric Radiology 2017. 2.Kljucevsek, D., A PICTORIAL ESSAY ON RADIOGRAPHY OF SWALLOWING AND ESOPHAGEAL DISORDERS. Paediatrics Today, 2015. 11: p. 10-23. 3.E. ahmed, L.M.R., M. Hatem Shalaby, S. Abdelsattar Mohammad, Role of upper GI series in children, in ECR 2019 / C-0963. 2019. 4.Berrocal, T., et al., Congenital Anomalies of the Upper Gastrointestinal Tract. RadioGraphics, 1999. 19(4): p. 855-872. 5.COLEY, B.D., CAFFEY’S PEDIATRIC DIAGNOSTIC IMAGING. 13TH EDITION ed. Vol. volume...