PERINATOLOGIYA I PEDIATRIYA.2015.3(63):80-83; doi 10.15574/PP.2015.63.80 
 

The diagnostic efficiency of the gydrosonography for detection of pathology of the upper gastrointestinal tract in children with bronchial asthma and recurrent bronchitis 
 

T.A. Gridina, B.A. Tarasyuk, A.Yu. Palkin, A.I. Kushnerov

SI «Institute of Pediatrics, Obstetrics and Gynecology NAMS of Ukraine», Kyiv, Ukraine

SI «Institute of Nuclear Medicine and Radiation Diagnosis of NAMS of Ukraine», Kyiv, Ukraine

Belarusian Medical Academy of Postgraduate Education, Minsk, Belarus 
 

Objective: to prove the effectiveness of gydrosonography examination compared to fibrogastroduodenoscopy in identifying pathologies of the upper gastrointestinal tract. 
 

Patients and methods. A total of 140 children in the age 5–17 years (57 — with bronchial asthma, 52 — with recurrent bronchitis, 31 — control group) are examined. Foe confirmation of the reliability of the obtained results was calculated Kappa coefficient, which was a statistical measure of the consistency of the results of endoscopic and gydrosonographic methods. 
 

Results. Integral diagnostic efficiency of the gydrosonography for screening and diagnosis of diseases of the upper gastrointestinal tract was 88.1%, sensitivity — 93.8% and specificity — 83.2%. Kappa coefficient for detecting of gastroesophageal reflux disease, cardiac failure and gastropathy was more than 0.79. It is certifies about good results and a high consistency of methods. The integral Kappa index for gydrosonography was 0.76 (0,63–0,90). 
 

Conclusions. In patients with bronchial asthma and recurrent bronchitis gidrosonograhpy examination of the upper gastrointestinal tract may be used as the method of choice for the detection of other pathogenic factors of the disease, with a view of appointment of adequate personalized therapy. 
 

Key words: gydrosonography, fibrogastroduodenoscopy, bronchial asthma, recurrent bronchitis, digestive organs. 
 

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