The usefulness of the upper gastrointestinal series in the pediatric patient before anti-reflux procedure or XXXX .

@entity1 @entity5274 @entity854
OBJECTIVE: Most @entity1 undergo an upper gastrointestinal study (UGI) before an anti-reflux (AR) procedure or @entity5274 ( @entity5274 ). @entity854 detected by UGI are uncommon and we hypothesize that the value of routine preoperative use of this test is limited. METHODS: Five hundred and seventy-two @entity1 who underwent either an AR or @entity5274 over a 10-y period at our institution were reviewed. Data including @entity1 demographics, indications for surgery, preoperative testing, and type of operation were collected. RESULTS: Of the 572 cases, an UGI was performed in approximately 71%. The results were interpreted as normal in 63%, and abnormal in 37%. The most common abnormality noted was gastroesophageal reflux in approximately 80%, followed by an @entity854 in 6%, most of which were expected. Of 36 anatomic abnormalities noted, only four were unexpected in the total cohort. In addition to an UGI, half of the subjects received additional evaluations that included pH probes and gastric emptying studies (GES). In these studies, 56% of pH probes and 45% of GES had findings in which reflux was noted. Compared with UGIs, these tests were significantly more likely to identify reflux in @entity1 . CONCLUSION: These results suggest that the utility of an UGI before AR or @entity5274 procedures is low. @entity854 were rare and changed clinical management in a total of four cases. A prospective trial would help to further validate these findings and help identify @entity1 who would benefit from an UGI.
