Skip to main content

Radiology of the Stomach in Infants and Children

  • Chapter
  • First Online:
Esophageal and Gastric Disorders in Infancy and Childhood

Abstract

Imaging the stomach in infants and children requires techniques which are age- and patient condition-specific. Radiography, fluoroscopy, ultrasound, plain radiography, and scintigraphy are the primary modalities for imaging the pediatric stomach, while computed tomography (CT) and magnetic resonance imaging (MRI) typically play complimentary roles. Imaging is useful in the workup of congenital, developmental, iatrogenic, inflammatory, neoplastic, emergent, and postoperative stomach conditions in children.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

99Tcm:

Technetium 99m

cm:

Centimeters

CT:

Computed tomography

GE junction:

Gastroesophageal junction

GIST:

Gastrointestinal stromal tumor

HSP:

Hypertrophic pyloric stenosis

mm:

Millimeters

MRI:

Magnetic resonance imaging

PET:

Positron emission tomography

UGI:

Fluoroscopic upper gastrointestinal series

US:

Ultrasound

References

  1. Applegate KE, Maglinte DT. Imaging of the bowel in children: new imaging techniques. Pediatr Radiol. 2008;38(Suppl2):S272–4.

    Article  PubMed  Google Scholar 

  2. American Society for Gastrointestinal Endoscopy, Standards of Practice Committee. Guideline for the management of ingested foreign bodies. J Gastroint Endoscop. 2002;55(7):802–6.

    Article  Google Scholar 

  3. Benesch M, Wardelmann E, Ferrari A, et al. Review gastrointestinal stromal tumors (GIST) in children and adolescents: a comprehensive review of the current literature. Peditr Blood Cancer. 2009;53:1171–9.

    Article  Google Scholar 

  4. Bhargava P, Parisi M. Gastric pneumatosis and portal venous gas: benign findings in hypertrophic pyloric stenosis. Pediatr Radiol. 2009;39:413.

    Article  PubMed  Google Scholar 

  5. Bonacci JL, Schlatter MG. Gastric duplication cyst: a unique presentation. J Pediatr Surg. 2008;43:1203–5.

    Article  PubMed  Google Scholar 

  6. Boyle JT. Gastroesophageal reflux disease in 2006 the imperfect diagnosis. Pediatr Radiol. 2006;36 Suppl 2:192–5.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Carter AJ, Greer M-LC, Gray SE, et al. Mock MRI: reducing the need for anesthesia in children. Pediatr Radiol. 2010;40(8):1368–74. Online.

    Article  PubMed  Google Scholar 

  8. Chew AL, Friedwald JP, Donovan C. Diagnosis of congenital antral web by ultrasound. Pediatr Radiol. 1992;22:342–3.

    Article  CAS  PubMed  Google Scholar 

  9. Cohen HL, Zinn HL, Haller JO, et al. Ultrasonography of pylorospasm: findings may simulate hypertrophic pyloric stenosis. J Ultrasound Med. 1998;17:705–11.

    Article  CAS  PubMed  Google Scholar 

  10. Cook SL, Beaver B, Brislin R, et al. Rapunzel syndrome: not just a “hairy tail”. Clin Pediatr (Phila). 2011;50(4):372–4.

    Google Scholar 

  11. Cribbs RK, Gow KW, Wulkan ML. Gastric volvulus in infants and children. Pediatrics. 2008;122:e752–62.

    Article  PubMed  Google Scholar 

  12. Dillman JR, Adler J, Zimmermann EM, et al. CT enterography of pediatric Crohn disease. Pediatr Radiol. 2010;40:97–105.

    Article  PubMed  Google Scholar 

  13. Ferguson C, Morabita A, Bianchi A. Duodenal atresia and gastric antral web a significant lesson to learn. Eur J Pediatr Surg. 2004;14:120–2.

    Article  CAS  PubMed  Google Scholar 

  14. Haider N, Spicer R, Grier D. Ultrasound diagnosis of infantile hypertrophic pyloric stenosis: determinants of pyloric length and the effect of prematurity. Clin Radiol. 2002;57:136–9.

    Article  PubMed  Google Scholar 

  15. Harned RK, Strain JD. MRI-compatible audio/visual system: impact on pediatric sedation. Pediatr Radiol. 2001;31:247–50.

    Article  PubMed  Google Scholar 

  16. Herman TE, Siegel MJ. Imaging casebook. Asplenia syndrome with congenital microgastria and malrotation. J Perinatalol. 2004;24:50–2.

    Article  Google Scholar 

  17. Jones VS, Cohen RC. An eighteen year follow-up after surgery for congenital microgastria- case report and review of literature. J Pediatr Surg. 2007;42:1957–60.

    Article  PubMed  Google Scholar 

  18. Keckler SJ, Ostlie DJ, Holcomb GW, et al. The progressive development of pyloric stenosis: a role for repeat ultrasound. Eur J Pediatr Surg. 2008;18:168–70.

    Article  CAS  PubMed  Google Scholar 

  19. Kraus SJ. Bezoar. In: Donnelly, Jones, O’Hara, et al., editors. Diagnostic imaging pediatrics. Salt Lake City: Amirsys; 2005.

    Google Scholar 

  20. Kumar R, Tripathi M, Chandrashekar N, et al. Diagnosis of ectopic gastric mucosa using 99Tcm-pertechnetate: spectrum of scintigraphic findings. Br J Radiol. 2005;78:714–20.

    Article  CAS  PubMed  Google Scholar 

  21. Lacher M, Schneider K, Dalla Pozza R, et al. Gastric outlet obstruction after long-term prostaglandin administration mimicking hypertrophic pyloric stenosis. Eur J Pediatr Surg. 2007;17:362–4.

    Article  CAS  PubMed  Google Scholar 

  22. Leonidas JC, Singh SP, Slovis TL. Congenital anomalies of the gastrointestinal tract. In: Kuhn JP, Slovis TL, Haller JO, editors. Caffey’s pediatric diagnostic imaging. 10th ed. Philadelphia: Mosby; 2004.

    Google Scholar 

  23. Liu PF, Chang CS, Wang J, et al. Primary gastric tuberculosis. Endoscopy. 2009;41:E327–8.

    Article  PubMed  Google Scholar 

  24. O’Hara SM. Gastrointestinal duplication cysts. In: Donnelly, Jones, O’Hara, et al., editors. Diagnostic imaging pediatrics. Salt Lake City: Amirsys; 2005.

    Google Scholar 

  25. O’Hara SM, Donnelly LF, Chuang E, et al. Gastric retention of zinc-based pennies: radiographic appearance and hazards. Radiology. 1999;213(1):113–7.

    Article  PubMed  Google Scholar 

  26. Oh SK, Han BK, Levin TL, et al. Gastric volvulus in children: the twists and turns of an unusual entity. Pediatr Radiol. 2007;38:297–304.

    Article  Google Scholar 

  27. Ozcan C, Celik A, Guclu C, et al. A rare cause of gastric outlet obstruction in the newborn: pyloric ectopic pancreas. J Pediatr Surg. 2002;37(1):119–20.

    Article  PubMed  Google Scholar 

  28. Puligandla PS, Nguyen LT, St-Vil D, et al. Gastrointestinal duplications. J Pediatr Surg. 2003;39:740–4.

    Article  Google Scholar 

  29. Schlesinger AE, Parker BR. Acquired gastric and duodenal abnormalities. In: Kuhn JP, Slovis TL, Haller JO, editors. Caffey’s pediatric diagnostic imaging. 10th ed. Philadelphia: Mosby; 2004.

    Google Scholar 

  30. Warrington JC, Charron M. Pediatric gastrointestinal nuclear medicine. Sem Nucl Med. 2007;37:269–85.

    Article  Google Scholar 

  31. Wayne MW, Newton DD. CT appearances of the Rapunzel syndrome: an unusual form of bezoar and gastrointestinal obstruction. Pediatr Radiol. 1998;28:315–6.

    Article  Google Scholar 

  32. Yoshizawa J, Eto T, Higashimoto Y, et al. Ultrasonographic features of normalization of the pylorus after pyloromyotomy for hypertrophic pyloric stenosis. J Pediatr Surg. 2001;36(4):582–6.

    Article  CAS  PubMed  Google Scholar 

  33. Zhuge Y, Cheung MC, Yang R, et al. Pediatric intestinal foregut and small bowel solid tumors a review of 105 cases. J Surg Res. 2009;156:95–102.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Charles A. Dietz Jr. MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Holm, T.L., Dietz, C.A. (2017). Radiology of the Stomach in Infants and Children. In: Till, H., Thomson, M., Foker, J., Holcomb III, G., Khan, K. (eds) Esophageal and Gastric Disorders in Infancy and Childhood. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11202-7_113

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-11202-7_113

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11201-0

  • Online ISBN: 978-3-642-11202-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics