Riccabona M, Rossipal E
Department of Pediatrics, University Hospital Graz, Austria.
J Pediatr Gastroenterol Nutr. 1993 Aug;17(2):198-200. doi: 10.1097/00005176-199308000-00012.
In 43 children who had been admitted to our department due to symptoms of malabsorption, sonography of the small bowel was performed before biopsy. Seventeen of the patients were shown to have celiac disease. Twenty-six patients had gastroenteritis, postenteritis syndrome, and enteropathic cow's milk allergy, and one patient had sarcoidosis. At the time of diagnosis, 16 children with celiac disease showed a sonographically abnormal appearance of the small-bowel wall structure. In addition to hyperperistalsis, slight ascites, pericardial fluid, or liver tissue texture changes could be found in some of the patients. Relating the findings of abnormal small-bowel wall structures to the data of the small-bowel biopsy, we found a sensitivity of 94% and a specificity of 88% for sonographic detection of changes related to celiac disease. Our findings indicate that sonographic data can be of great help in exploring children with signs of malabsorption. These data provide a further argument for the decision to perform a biopsy of the small bowel.
43名因吸收不良症状入住我科的儿童在进行活检前接受了小肠超声检查。其中17名患者被诊断为乳糜泻。26名患者患有肠胃炎、肠炎后综合征和肠病性牛奶过敏，1名患者患有结节病。在诊断时，16名乳糜泻儿童的小肠壁结构超声表现异常。除了蠕动亢进外，部分患者还可发现少量腹水、心包积液或肝组织质地改变。将小肠壁结构异常的检查结果与小肠活检数据相关联后，我们发现超声检测与乳糜泻相关改变的敏感性为94%，特异性为88%。我们的研究结果表明，超声数据对探索有吸收不良迹象的儿童有很大帮助。这些数据为决定进行小肠活检提供了进一步的依据。
