Gastrointestinal pathology in neonates: new imaging strategies
Review
First Online:
Received:
Accepted:
- 332 Downloads
- 3 Citations
Abstract
The mainstay of imaging of gastrointestinal (GI) pathology in infants has always been and still is the plain radiograph of the abdomen and conventional contrast studies. In this review emphasis is placed on the situations where there are new imaging strategies and alternative modalities of imaging, including US, CT, MRI and radionuclide studies. This review will deal with GI pathology in the newborn and in the older neonate. It will also refer to any new approaches to imaging GI pathology in the premature infant. Finally the review will address how antenatal diagnosis of gastrointestinal tract abnormalities has changed the imaging strategy and management of the neonate.
Keywords
Gastrointestinal US MRI CT Radioisotope Neonate InfantReferences
- 1.Berrocal T, Lamas M, Gutieerrez J et al (1999) Congenital anomalies of the small intestine, colon, and rectum. Radiographics 19:1219–1236PubMedGoogle Scholar
- 2.Khan NA, Rea D, Hayes R et al (2005) Nonoperative management of uncomplicated meconium ileus with gastrograffin enema-factors that contribute to successful reduction. Pediatr Radiol 35:S97–98CrossRefGoogle Scholar
- 3.Jamieson DH, Dundas SE, Belushi SA et al (2004) Does the transition zone reliably delineate aganglionic bowel in Hirschsprung’s disease? Pediatr Radiol 34:811–815CrossRefPubMedGoogle Scholar
- 4.Jester I, Holland-Cunz S, Loff S et al (2009) Transanal pull-through procedure for Hirschsprung’s disease: a 5-year experience. Eur J Pediatr Surg 19:68–71CrossRefPubMedGoogle Scholar
- 5.Haber HP, Seitz G, Warmann SW et al (2007) Transperineal sonography for determination of the type of imperforate anus. AJR 189:1525–1529CrossRefPubMedGoogle Scholar
- 6.Eltomey MA, Donnelly LF, Emery KH et al (2008) Postoperative pelvic MRI of anorectal malformations. AJR 191:1469–1476CrossRefPubMedGoogle Scholar
- 7.Laffan EE, Daneman A, Ein SH et al (2006) Tracheoesophageal fistula without esophageal atresia: are pull-back tube esophagograms needed for diagnosis? Pediatr Radiol 36:1141–1147CrossRefPubMedGoogle Scholar
- 8.Gunlemez A, Anik Y, Elemen L et al (2009) H-type tracheoesophageal fistula in an extremely low birth weight premature neonate: appearance on magnetic resonance imaging. J Perinatol 29:393–395CrossRefPubMedGoogle Scholar
- 9.Vatansever U, Acunas B, Salman T et al (2006) A premature infant with h-type tracheoesophageal fistula demonstrated by scintigraphic technique. Clin Nucl Med 31:451–453CrossRefPubMedGoogle Scholar
- 10.Hur J, Yoon CS, Kim MJ et al (2007) Imaging features of gastrointestinal tract duplications in infants and children: from oesophagus to rectum. Pediatr Radiol 37:691–699CrossRefPubMedGoogle Scholar
- 11.Huang YL, Lee HC, Yeung CY et al (2009) Sonogram before and after pyloromyotomy: the pyloric ratio in infantile hypertrophic pyloric stenosis. Pediatr Neonatol 50:117–120CrossRefPubMedGoogle Scholar
- 12.Yang G, Brisseau G, Yanchar NL (2008) Infantile hypertrophic pyloric stenosis: an association in twins? Paediatr Child Health 13:383–385PubMedGoogle Scholar
- 13.Pracros JP, Sann L, Genin G et al (1992) Ultrasound diagnosis of midgut volvulus: the “whirlpool” sign. Pediatr Radiol 22:18–20CrossRefPubMedGoogle Scholar
- 14.Yousefzadeh DK (2009) The position of the duodenojejunal junction: the wrong horse to bet on in diagnosing or excluding malrotation. Pediatr Radiol 39:S172–177CrossRefPubMedGoogle Scholar
- 15.Morigeri C, Bhattacharya A, Mukhopadhyay K et al (2008) Radionuclide scintigraphy in the evaluation of gastroesophageal reflux in symptomatic and asymptomatic pre-term infants. Eur J Nucl Med Mol Imaging 35:1659–1665CrossRefPubMedGoogle Scholar
- 16.Vazquez JL, Buonomo C (1999) Feeding difficulties in the first days of life: findings on upper gastrointestinal series and the role of the videofluoroscopic swallowing study. Pediatr Radiol 29:894–896CrossRefPubMedGoogle Scholar
- 17.Kim WY, Kim WS, Kim IO et al (2005) Sonographic evaluation of neonates with early-stage necrotizing enterocolitis. Pediatr Radiol 35:1056–1061CrossRefPubMedGoogle Scholar
- 18.Epelman M, Daneman A, Navarro OM et al (2007) Necrotizing enterocolitis: review of state-of-the-art imaging findings with pathologic correlation. Radiographics 27:285–305CrossRefPubMedGoogle Scholar
- 19.Silva CT, Daneman A, Navarro OM et al (2007) Correlation of sonographic findings and outcome in necrotizing enterocolitis. Pediatr Radiol 37:274–282CrossRefPubMedGoogle Scholar
- 20.Robel-Tilling E, Knupfer M, Pulzer F et al (2004) Blood flow parameters of the superior mesenteric artery as an early predictor of intestinal dysmotility in preterm infants. Pediatr Radiol 34:958–962CrossRefGoogle Scholar
- 21.Bode S, Dreyer M, Greisen G (2004) Gastric emptying and small intestinal transit time in preterm infants: a scintigraphic method. J Pediatr Gastroenterol Nutr 39:378–382CrossRefPubMedGoogle Scholar
- 22.Ruiz MJ, Thatch KA, Fisher JC et al (2009) Neonatal outcomes associated with intestinal abnormalities diagnosed by fetal ultrasound. J Pediatr Surg 44:71–74CrossRefPubMedGoogle Scholar
- 23.Saleh N, Geipel A, Gembruch U et al (2009) Prenatal diagnosis and postnatal management of meconium peritonitis. J Perinat Med 37:535–538CrossRefPubMedGoogle Scholar
- 24.Chan KL, Tang MH, Tse HY et al (2005) Meconium peritonitis: prenatal diagnosis, postnatal management and outcome. Prenat Diagn 25:676–682CrossRefPubMedGoogle Scholar
- 25.Garel C, Dreux S, Philippe-Chomette P et al (2006) Contribution of fetal magnetic resonance imaging and amniotic fluid digestive enzyme assays to the evaluation of gastrointestinal tract abnormalities. Ultrasound Obstet Gynecol 28:282–291CrossRefPubMedGoogle Scholar
- 26.Lubusky M, Prochazka M, Dhaifalah I et al (2006) Fetal enterolithiasis: prenatal sonographic and MRI diagnosis in two cases of urorectal septum malformation (URSM) sequence. Prenat Diagn 26:345–349CrossRefPubMedGoogle Scholar
Copyright information
© Springer-Verlag 2010