MIDGUT MALROTATION AND VOLVULUS - WHICH FILMS ARE MOST HELPFUL
MIDGUT MALROTATION AND VOLVULUS - WHICH FILMS ARE MOST HELPFUL
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DOI：
10.1148/96.2.375
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发表时间：
1970-01-01
期刊：
影响因子：
19.7
通讯作者：
SANTULLI, TV
中科院分区：
文献类型：
--
作者：
BERDON, WE;BAKER, DH;SANTULLI, TV
中肠旋转不良是一种外科急症，通常发生在出生后的最初几周。表现为十二指肠梗阻和胆汁呕吐；这些迹象可能是间歇性的或很少的。在 77 名旋转不良患者中回顾了平片、钡剂灌肠研究和胃肠道研究的优点和局限性； 65 例中出现肠扭转。通过对儿科放射学会成员进行的问卷调查获得了更多经验。 39 名受访者更喜欢钡剂灌肠研究。上消化道系列可用于定义外源性十二指肠梗阻，但如果患者在研究时无症状，则很难解释。
Midgut malrotation is a surgical emergency usually seen in the first weeks of life. It presents with duodenal obstruction and bile emesis; the signs may be intermittent or minimal. The advantages and limitations of plain films, barium enema studies, and gastrointestinal studies were reviewed in 77 patients with malrotation; volvulus was seen in 65. Additional experience was gained from a questionnaire among members of the Society for Pediatric Radiology. Barium enema studies were preferred by 39 respondents. The upper gastrointestinal series was useful in defining extrinsic duodenal obstruction, but was difficult to interpret if the patient was asymptomatic when studied.