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Type:
Educational Exhibit
Keywords:
Acute, Diagnostic procedure, Contrast agent-oral, Ultrasound, Fluoroscopy, Digital radiography, Paediatric, Gastrointestinal tract, Emergency
Authors:
I. Goel, R. Anand, M. Narula, S. R. Choudhury, P. Jhanwar; New Delhi/IN
DOI:
10.1594/ecr2015/C-1515
Background
Gastro-intestinal obstructions are one of the most common surgical emergencies in the infantile age group
The conditions can be further subdivided into those that present in the immediate postnatal period and those that occur later
DIAGNOSIS:
A.
Clinical signs and symptoms:
- Emesis - Bilious ( proximal obstructions) or non bilious
- Failure to pass meconium ( first 24 hours of life)
- Constipation ( after first day of life)
- Abdominal distension ( more common in lower obstructions)
B.
Diagnostic Imaging - constellation of findings on:
- Conventional radography
- GI contrast studies
- Ultrasound with or without color doppler
A DIAGNOSTIC ALGORITHM using the imaging findings along with the clinical features is highly effective in diagnosing the exact cause.
Fig. 1
Fig. 2
With CT and MRI required in very few cases this approach becomes highly cost effective,
readily available and minimally invasive