Summary
Definition
ანამნეზი და გასინჯვა
ძირითადი დიაგნოსტიკური ფაქტორები
- bilious vomiting
- abdominal pain
სხვა დიაგნოსტიკური ფაქტორები
- infant age <1 year
- normal abdominal examination
- abdominal distension
- abdominal tenderness
- tachycardia with hypertension
- tachycardia with hypotension
- tachypnoea
- weight loss
- dark blood in nappy
რისკფაქტორები
- embryological abnormality
დიაგნოსტიკური კვლევები
1-ად შესაკვეთი გამოკვლევები
- upper gastrointestinal contrast series
- abdominal plain x-rays
გასათვალისწინებელი კვლევები
- ultrasound
- lower gastrointestinal (GI) contrast series
- CT abdomen (with oral and intravenous contrast)
- ABG (including lactate)
- Clotting, group and save, or cross-match
- Urea and electrolytes
- FBC
- CRP
მკურნალობის ალგორითმი
obstruction with ischaemia
obstruction without ischaemia
intermittent or partial volvulus or obstructing Ladd's bands
questionable malrotation or asymptomatic finding
კონტრიბუტორები
ავტორები
Michael Stanton, MB BS, MD, FRCS (Paed Surg)
Consultant Paediatric Surgeon and Honorary Senior Lecturer
Department of Paediatric Surgery
University Hospital Southampton
Southampton
UK
გაფრთხილება:
MS declares that he has no competing interests.
მადლიერება
Dr Michael Stanton would like to gratefully acknowledge Dr Stephen Shew, Dr S.D. St Peter, Dr Fizan Abdullah, and Dr Omar Karim, previous contributors to this topic.
გაფრთხილება:
SS is the author of two references cited in this topic. SDSP is the co-author of one reference cited in this topic. FA and OK declared that they had no competing interests.
რეცენზენტები
Casey M. Calkins, MD
Assistant Professor of Pediatric Surgery
The Medical College of Wisconsin
Children's Hospital and Health System
Milwaukee
WI
გაფრთხილება:
CC declares that he has no competing interests.
Steve Rothenberg, MD
Chief of Pediatric Surgery
Chairman Department of Pediatrics
The Rocky Mountain Hospital for Children at Presbyterian/St. Luke's
Denver
CO
გაფრთხილება:
SR declares that he has no competing interests.
KuoJen Tsao, MD
Assistant Professor
Department of Pediatric Surgery
University of Texas Health Science Center at Houston
Houston
TX
გაფრთხილება:
KT declares that he has no competing interests.
Eric Nicholls, MD
Consultant Paediatric Surgeon
Paediatric Surgery
St George's Hospital
London
UK
გაფრთხილება:
EN declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
წყაროები
ძირითადი სტატიები
Shew SB. Surgical concerns in malrotation and midgut volvulus. Pediatr Radiol. 2009;39(suppl 2):S167-71. აბსტრაქტი
Expert Panel on Pediatric Imaging, Alazraki AL, Rigsby CK, et al. ACR appropriateness criteria® vomiting in infants. J Am Coll Radiol. 2020 Nov;17(11s):S505-15.სრული ტექსტი აბსტრაქტი
Graziano K, Islam S, Dasgupta R, et al. Asymptomatic malrotation: diagnosis and surgical management: an American Pediatric Surgical Association outcomes and evidence based practice committee systematic review. J Pediatr Surg. 2015 Oct;50(10):1783-90. აბსტრაქტი
Ooms N, Matthyssens LE, Draaisma JM, et al. Laparoscopic treatment of intestinal malrotation in children. Eur J Pediatr Surg. 2016 Aug;26(4):376-81.სრული ტექსტი აბსტრაქტი
გამოყენებული სტატიები
ამ თემაში მოხსენიებული წყაროების სრული სია ხელმისაწვდომია მომხმარებლებისთვის, რომლებსაც აქვთ წვდომა BMJ Best Practice-ის ყველა ნაწილზე.
Differentials
- Duodenal atresia/web
- Intussusception
- Gastro-oesophageal reflux
მეტი DifferentialsGuidelines
- ACR appropriateness criteria® vomiting in infants
- Clinical practice guidelines for antimicrobial prophylaxis in surgery
მეტი GuidelinesVideos
Nasogastric tube insertion animated demonstration
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