A pattern-based approach to bowel obstruction in the newborn

Intestinal obstruction is common in newborns, and the radiologist plays a critical role in the care of these children. Diagnosing and managing the potentially obstructed newborn can be challenging, especially given the myriad underlying pathologies that range from benign to acutely life-threatening....

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Bibliographic Details
Published in:Pediatric radiology 2013-03, Vol.43 (3), p.318-329
Main Authors: Maxfield, Charles M., Bartz, Brett H., Shaffer, Jennifer L.
Format: Article
Language:English
Subjects:
Algorithms
Contrast Media
Female
Humans
Imaging
Infant, Newborn
Intestinal Obstruction - diagnosis
Male
Medicine
Medicine & Public Health
Neuroradiology
Nuclear Medicine
Oncology
Pattern Recognition, Automated - methods
Pediatrics
Radiography, Abdominal - methods
Radiology
Reproducibility of Results
Review
Sensitivity and Specificity
Ultrasonography - methods
Ultrasound
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Summary:Intestinal obstruction is common in newborns, and the radiologist plays a critical role in the care of these children. Diagnosing and managing the potentially obstructed newborn can be challenging, especially given the myriad underlying pathologies that range from benign to acutely life-threatening. A familiarity with the most common diagnoses is essential, but equally important to the radiologist is a systematic approach to management of the child in this setting. We propose an approach based on the recognition of eight radiographic patterns, five upper gastrointestinal examination (UGI) patterns and four contrast enema patterns. Recognition of these patterns directs further imaging when necessary and allows triage of children who can be managed medically, those requiring elective or urgent surgery and those requiring emergent surgery.
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-012-2573-1