Ultrasound of the pyloric department of the stomach in children

An ultrasound examination of the pyloric region of the stomach is a non-invasive diagnostic technique specifically designed to assess the pylorus — the section connecting the stomach to the duodenum (the beginning of the small intestine). This area is critical for regulating the passage of food and digestive juices. In children, especially newborns, issues can arise, such as hypertrophic pyloric stenosis, where the muscle of this sphincter is abnormally thickened. This leads to obstruction, causing vomiting and dehydration.

Ultrasound is the preferred diagnostic method for assessing this condition due to its safety, absence of radiation, and ability to provide high-quality visualization. In the "Dobrobut" medical network, qualified doctors with extensive experience offer a comprehensive approach to diagnostics, ensuring the best possible care for the youngest patients.

When to Consult a Doctor

Parents should not hesitate to visit a doctor and undergo an ultrasound examination of the pyloric region of the stomach if their child exhibits any of the following symptoms:

Sudden vomiting: Severe vomiting, especially after feeding, may indicate pyloric stenosis.
Signs of dehydration: Symptoms such as decreased urine output, excessive thirst, dry mouth, and lethargy, especially in the context of constant vomiting.
Persistent hunger or weight loss.
Noticeable abdominal enlargement, which may occur due to food and gas retention.
Irritability and crying, particularly during feeding.

Indications and Contraindications

An ultrasound examination of the pyloric region of the stomach in children is primarily used to evaluate conditions affecting this area:

Hypertrophic Pyloric Stenosis: This is the most common reason for performing an ultrasound of the pyloric region in infants. Such an examination is the best diagnostic tool for determining the thickness of the pyloric muscle and the length of the pyloric channel to confirm the diagnosis.
Pylorospasm: This condition involves a temporary spasm of the pyloric muscle, which may mimic some symptoms of pyloric stenosis, such as vomiting and feeding difficulties, although typically less severe. Ultrasound helps differentiate pylorospasm from stenosis by showing temporary muscle thickening without significant elongation.
Monitoring Gastroesophageal Reflux Disease (GERD): In some cases, ultrasound can be used to assess the pyloric region in the context of GERD symptoms to confirm the absence of anatomical abnormalities that may contribute to reflux.
Exploring Causes of Vomiting or Feeding Difficulties.

Ultrasound examination of the pyloric region is indicated for:

Assessing Pyloric Stenosis: If a doctor suspects hypertrophic pyloric stenosis based on symptoms, ultrasound can confirm the diagnosis.
Monitoring Known Conditions: To make decisions regarding patients with existing problems, such as stenosis, to assess progress.
Evaluating Gastric Emptying Rate: In some cases, ultrasound can be used to assess how well the stomach empties, which may indicate further issues.

Contraindications for ultrasound examination are minimal, as the procedure is safe, but can be challenging due to the age of the child or when the child cannot remain still during the examination.

Diagnosis of the Need for the Procedure

To confirm the necessity of an ultrasound examination of the pyloric region, the doctor conducts a thorough examination and assesses for signs of pain, swelling, and other signs of dehydration or gastrointestinal dysfunction, reviews the history for understanding potential causes of pyloric stenosis, and evaluates results from previous examinations if available.

How the Procedure is Conducted

An ultrasound examination of the pyloric region of the stomach in children typically takes 15 to 30 minutes.

The preparation for the ultrasound is usually minimal, especially in children. During the examination, children should be relaxed and still.

The child typically lies comfortably, usually on their back. A special gel is applied to the abdominal area. Then a portable device called a transducer is moved over the pyloric area to obtain images.

Results can be obtained immediately after the examination. The doctor evaluates them and may recommend further diagnostics or treatment.

Appointments for ultrasound of the pyloric region of the stomach can be made through the form on the website or by calling the contact center.