By Teresa Berrocal MD, PhD (auth.), Annick S. Devos MD, Johan G. Blickman MD, PhD, FACR (eds.)
This finished, up to date and greatly illustrated quantity deals a multimodality method of gastrointestinal imaging in young ones and babies. The function of every of the presently on hand imaging ideas is taken into account rigorously, and diagnostic dilemmas are mentioned and illustrated. After an preliminary bankruptcy that addresses pediatric gastrointestinal imaging within the emergency environment, designated person chapters are dedicated to the esophagus, belly and duodenum, accent organs of digestion, small bowel and colon. A last bankruptcy specializes in pediatric interventional systems played with imaging information. opposed to the historical past of fast fresh advances in imaging know-how and the particular facets of gastrointestinal imaging in teenagers and babies, this quantity will function an important reference paintings for all who're engaged within the field.
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Additional info for Radiological Imaging of the Digestive Tract in Infants and Children
As a result, there is no limit to the procedure time, a fact that may improve the success rate. US has a high accuracy and reliability for monitoring the reduction process and for the visualization of all components of the intussusception, with easy recognition of pathologic lead points and residual intussusception when they exist. The easiest way to initiate an US-guided enema service could be to replace the contents of the barium bag with saline or warm water. To easily visualize the reduction process, the procedure should start at low pressures with the enema bag 60 cm above the table, and slowly raising the height of the bag.
The majority of these children have self-limited disease. The most common associated conditions include upper respiratory tract infection, pharyngitis, viral syndrome, gastroenteritis, and constipation (Henderson et al. 1992). Therefore, it is uncommon for the underlying condition in these children to require surgical intervention. Acute abdomen is deﬁned as a severe abdominal pain that starts suddenly, so that the possibility of immediate surgery must be considered. The causes of the acute abdomen in children vary depending on the ages of the children and can be divided into diseases that can be treated with medical care and those in which emergency surgical intervention may be necessary.
1994). Therefore, several authors do not recommend plain radiography if there is high clinical suspicion of intussusception (Verschelden et al. 1992), especially when the symptoms are of short duration. In such cases, US should be the initial imaging procedure (Woo et al. 1992; Daneman and Alton 1996; Riebel et al. 1993). US has a high sensitivity for the diagnosis of intussusception (98%–100%) (Pracros et al. 1987; Riebel et al. 1993; Wang and Liu 1988). Because deep penetration of the ultrasound beam is not necessary in small children, a high-resolution transducer (5–10 MHz) can be used to improve the deﬁnition of the image.