The Journal of Preventive Medicine
نویسنده
چکیده
The objectives of our study were to evaluate two diagnostic methods (with and without x-ray) and to investigate the efficacy of barium meal examination. Material and methods. We performed a clinical randomized study at 675 subjects (aged 4 month-18 years) from University Children Hospital Iaşi (the only pediatric endoscopies department from North-East of Romania) and Students Hospital Iaşi. The calculated indices of the diagnostic methods were the sensitivity, specificity, efficiency, predictive values (PV+ and PV-) and usefulness index (UI). Results. The radiological examination had a UI above 0.35 only for esophageal stricture but in this case the esophagogastroscopy is recommended as diagnostically and as therapeutic procedure for dilatation of esophageal stricture. The endoscopy had a UI above 0.35 for all diseases excepted gastroesophageal reflux (GER) and esophageal diverticula’s. Conclusions. The barium meal examination was requested in inappropriate situations such as: dyspepsia (routinely), peptic ulcer (follow-up) and gastrointestinal bleeding. The barium meal examination was repeated in 65.8% of cases. It is imperative to disseminate the guidelines for doctors indicating clearly the clinical context when these two diagnostic methods are to be recommended.
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