| A Study of Ultrasonographic findings in Children with Gastrointestinal Symptoms. |
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Dong Lag Choi1, Kwang Sup Kim1, Jong Wang Kim1, Duk Kyu Kim1, Kwang Nam Kim1, Ki Yang Ryoo1, Hyo Keun Lim2 |
1Department of Pediatrics, College of Medicine, Hallym Unversity, Seoul, Korea
2Department of Radiology, College of Medicine, Hallym Unversity, Seoul, Korea |
| 위장관증상을 동반한 환아의 초음파검사에 대한 연구* |
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최동락1, 김광섭1, 김종완1, 김덕규1, 김광남1, 유기양1, 임효근2 |
1한림대학교 의과대학 소아과학교실
2한림대학교 의과대학 방사선과학교실 |
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Received: 16 June 1990 • Accepted: 4 September 1990 |
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| Abstract |
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We analyzed retrospectively the sonographic findings in 162 children who accompanied with gastrointes-
tinal symptoms and performed the comparative analysis of the clinico-pathologic findings to sonographic
findings from Jan. 1988 to July 1989. The most frequent symptom was abdominal pain (79.6%). The clinical
impression prior to ultrasonography were acute appendicitis (34%), mesenteric lymphadenitis (10.4%), hyper-
trophic pyloric stenosis (5%) in order. Positive cases in the ultrasonography were 77 (47.5%). Among these
findings, acute appendicitis was 12.3%, mesenteric lymphadenitis 6.1%, intussusception 4.9%, hypertrophic
pyloric stenosis 3% in order. Among patients though to have acute appendicitis clinically (N = 55), 20 patients
were positive in the ultrasonography. According to correlation with surgical-pathologic findings (N = 22),
ultrasonography showed that sensitivity was 90%, specificity 94%，and diagnostic accuracy 93%.
The results show that ultrasonography is useful screening method in the detection and differentiation of
intraabdominal pathology in the patients with gastrointestinal symptoms. |
| Key Words:
Gastrointestinal symptoms, Abdominal ultrasonography |
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