By Samuel Stafrace, Johan G. Blickman
This publication comprehensively reports imaging of the pediatric gastrointestinal tract and accent digestive organs from a pragmatic strategy.
Starting with a quick dialogue on strategies this can be via a few entire chapters overlaying emergency/acute pediatric belly imaging. a sequence of conventional anatomically dependent chapters at the oesophagus, abdominal, small bowel, colon and accent organs then keep on with. each one bankruptcy rigorously considers the position of the at present to be had imaging thoughts and discusses and illustrates diagnostic dilemmas. The ultimate bankruptcy makes a speciality of pediatric interventional tactics played with imaging assistance.
Since the 1st variation, the textual content has been totally up to date and new illustrations integrated. opposed to the history of swift advances in imaging know-how and the targeted elements of gastrointestinal imaging in little ones and babies, this quantity will function a necessary reference for normal and pediatric radiologists in addition to for radiologists in education, neonatologists and pediatricians.
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Extra resources for Radiological Imaging of the Digestive Tract in Infants and Children
It is usually impossible to determine the level of obstruction from the plain radiograph (if the affected segment is the distal ileum or any part of the colon). The dilated loops occupy the entire abdominal cavity, and the small and large bowel cannot be distinguished from each other. This distinction can be readily made with a contrast enema. Virtually all neonates with evidence of low obstruction require a contrast enema, which usually provides a specific diagnosis and may be therapeutic (Buonomo 1997; Vinocur et al.
These cases are frequently similar in appearance to duodenal stenosis and other incomplete congenital duodenal obstructions. As already noted, complete duodenal obstruction with the double bubble sign may also be a presentation form, this pattern being indistinguishable from other causes of complete congenital duodenal obstruction (GilbertsonDahdal et al. 2009). The abdominal radiograph may be normal if the obstruction is recent, intermittent, or incomplete or may demonstrate a relative paucity of bowel air.
With this degree of distension, the mucosal pattern of the small bowel is effaced, and it is impossible to differentiate the small bowel from the colon. Examination of the colon is then warranted to disclose the presence or absence of a colonic lesion (Subbarao 2008). In ileal atresia, the colon is normally placed but has an abnormally small caliber, the so-called functional microcolon typical of distal small bowel obstruction (Fig. 21 d, e). The presence of pneumoperitoneum indicates that perforation has occurred and a colon examination is contraindicated.
Radiological Imaging of the Digestive Tract in Infants and Children by Samuel Stafrace, Johan G. Blickman