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Gastro-Intestinal Tract Radiology

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Abstract

The main diagnostic techniques for gastrointestinal pathology in childhood have always been and still are plain abdominal radiographs and conventional contrast studies. However, gastrointestinal imaging has continued to evolve over time, with new techniques and methods gradually being added to the diagnostic procedures, particularly ultrasound, magnetic resonance imaging, and computed tomography.

For gastrointestinal studies in children, it is important to know the indications for the different imaging techniques, to understand the relationship between the techniques, and to consider the use of these newer techniques rather than conventional radiological studies, also considering the role of prenatal diagnosis and how this has, in some cases, changed the diagnostic process. In this chapter, the different diagnostic techniques for gastrointestinal tract studies in children are described, noting for each the main indications and specific characteristics.

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References

  1. Berrocal T, Torres I, Gutieerrez J et al (1999) Congenital anomalies of the upper gastro-intestinal tract. Radiographics 19:855–872

    Article  CAS  PubMed  Google Scholar 

  2. Berrocal T, Lamas M, Gutieerrez J et al (1999) Congenital anomalies of the small intestine, colon, and rectum. Radiographics 19:1219–1236

    Article  CAS  PubMed  Google Scholar 

  3. Ryan S, Donoghue V (2010) Gastrointestinal pathology in neonates: new imaging strategies. Pediatr Radiol 40:927–931

    Article  PubMed  Google Scholar 

  4. Hiorns MP (2011) Gastrointestinal tract imaging in children: current techniques. Pediatr Radiol 41:42–54, 53

    Article  PubMed  Google Scholar 

  5. Leighton JA, Wallace MB (2007) Update on small bowel imaging. Gastroenterology 132:1651–1654

    Article  PubMed  Google Scholar 

  6. Laffan EE, Daneman A, Ein SH et al (2006) Tracheoesophageal fistula without esophageal atresia: are pull-back tube esophagograms needed for diagnosis? Pediatr Radiol 36:1141–1147

    Article  PubMed  Google Scholar 

  7. Saleh N, Geipel A, Gembruch U et al (2009) Prenatal diagnosis and postnatal management of meconium peritonitis. J Perinat Med 37:535–538

    Article  PubMed  Google Scholar 

  8. Chan KL, Tang MH, Tse HY et al (2005) Meconium peritonitis: prenatal diagnosis, postnatal management and outcome. Prenat Diagn 25:676–682

    Article  CAS  PubMed  Google Scholar 

  9. Khan NA, Rea D, Hayes R et al (2005) Nonoperative management of uncomplicated meconium ileus with gastrografin enema factors that contribute to successful reduction. Pediatr Radiol 35:S97–S98

    Article  Google Scholar 

  10. Jamieson DH, Dundas SE, Belushi SA et al (2004) Does the transition zone reliably delineate aganglionic bowel in Hirschsprung’s disease? Pediatr Radiol 34:811–815

    Article  PubMed  Google Scholar 

  11. 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 19:68–71

    Article  CAS  PubMed  Google Scholar 

  12. Sizemore AW, Rabbani KZ, Ladd A et al (2008) Diagnostic performance of the upper gastrointestinal series in the evaluation of children with clinically suspected malrotation. Pediatr Radiol 38:518–528

    Article  PubMed  Google Scholar 

  13. Lobo ML, Roque M (2014) Gastrointestinal ultrasound in neonates, infants and children. Eur J Radiol 83:1592–1600

    Article  PubMed  Google Scholar 

  14. Fonio P, Coppolino F, Russo A et al (2013) Ultrasonography (US) in the assessment of pediatric non traumatic gastrointestinal emergencies. Crit Ultrasound J 5(suppl 1):S12

    PubMed  PubMed Central  Google Scholar 

  15. Hernanz-Schulman M (2009) Pyloric stenosis: role of imaging. Pediatr Radiol 39:S134–S139

    Article  PubMed  Google Scholar 

  16. Leaphart CL, Borland K, Kane TD et al (2008) Hypertrophic pyloric stenosis in newborns younger than 21 days: remodeling the path of surgical intervention. J Pediatr Surg 43:998–1001

    Article  PubMed  Google Scholar 

  17. Huang YL, Lee HC, Yeung CY et al (2009) Sonogram before and after pyloromyotomy: the pyloric ratio in infantile hypertrophic pyloric stenosis. Pediatr Neonatol 50:117–120

    Article  PubMed  Google Scholar 

  18. 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 37:691–699

    Article  PubMed  Google Scholar 

  19. Veyrac C, Baud C, Prodhomme O et al (2012) US assessment of neonatal bowel (necrotizing enterocolitis excluded). Pediatr Radiol 42(Suppl 1):S107–S114

    Article  PubMed  Google Scholar 

  20. Nagdeve NG, Qureshi AM, Bhingare PD et al (2012) Malrotation beyond infancy. J Pediatr Surg 47:2026–2032

    Article  PubMed  Google Scholar 

  21. Ashley LM, Allen S, Teel RL (2001) A normal sonogram does not exclude malrotation. Pediatr Radiol 31:354–356

    Article  CAS  PubMed  Google Scholar 

  22. Yousefzadeh DK (2009) The position of the duodenojejunal junction: the wrong horse to bet on in diagnosing or excluding malrotation. Pediatr Radiol 39:S172–S177

    Article  PubMed  Google Scholar 

  23. Applegate KE (2009) Evidence-based diagnosis of malrotation and volvulus. Pediatr Radiol 39:S161–S163

    Article  PubMed  Google Scholar 

  24. Pracros JP, Sann L, Genin G et al (1992) Ultrasound diagnosis of midgut volvulus: the “whirlpool” sign. Pediatr Radiol 22:18–20

    Article  CAS  PubMed  Google Scholar 

  25. Epelman M (2006) The whirlpool sign. Radiology 240:910–911

    Article  PubMed  Google Scholar 

  26. Haber HP, Seitz G, Warmann SW et al (2007) Transperineal sonography for determination of the type of imperforate anus. AJR 189:1525–1529

    Article  PubMed  Google Scholar 

  27. McHugh K (1998) The role of radiology in children with anorectal anomalies; with particular emphasis on MRI. Eur J Radiol 26:194–199

    Article  CAS  PubMed  Google Scholar 

  28. Kim WY, Kim WS, Kim IO et al (2005) Sonographic evaluation of neonates with early-stage necrotizing enterocolitis. Pediatr Radiol 35:1056–1061

    Article  PubMed  Google Scholar 

  29. Epelman M, Daneman A, Navarro OM et al (2007) Necrotizing enterocolitis: review of state-of-the-art imaging findings with pathologic correlation. Radiographics 27:285–305

    Article  PubMed  Google Scholar 

  30. Silva CT, Daneman A, Navarro OM et al (2007) Correlation of sonographic findings and outcome in necrotizing enterocolitis. Pediatr Radiol 37:274–282

    Article  PubMed  Google Scholar 

  31. Faingold R, Daneman A, Tomlinson G et al (2005) Necrotizing enterocolitis: assessment of bowel viability with color doppler US. Radiology 235:587–594

    Article  PubMed  Google Scholar 

  32. Horsthuis K, Stokkers PC, Stoker J (2007) Detection of inflammatory bowel disease: diagnostic performance of cross-sectional imaging modalities. Abdom Imaging 33:407–416

    Article  PubMed Central  Google Scholar 

  33. Spalinger J, Patriquin H, Miron MC et al (2000) Doppler US in patients with Crohn disease: vessel density in the diseased bowel reflects disease activity. Radiology 217:787–791

    Article  CAS  PubMed  Google Scholar 

  34. Di Mizio R, Maconi G, Romano S et al (2004) Small bowel Crohn disease: sonographic features. Abdom Imaging 29:23–35

    Article  PubMed  Google Scholar 

  35. Rufo PA, Bousvaros A (2007) Challenges and progress in pediatric inflammatory bowel disease. Curr Opin Gastroenterol 23:406–412

    Article  PubMed  Google Scholar 

  36. Hiorns MP (2008) Imaging of inflammatory bowel disease. How? Pediatr Radiol 38:S512–S517

    Article  PubMed  Google Scholar 

  37. Paolantonio P, Ferrari R, Vecchietti F et al (2009) Current status of MR imaging in the evaluation of IBD in a pediatric population of patients. Eur J Radiol 69:418–424

    Article  PubMed  Google Scholar 

  38. Eltomey MA, Donnelly LF, Emery KH et al (2008) Postoperative pelvic MRI of anorectal malformations. AJR 191:1469–1476

    Article  PubMed  Google Scholar 

  39. Borthne AS, Abdelnoor M, Rugtveit J et al (2006) Bowel magnetic resonance imaging of pediatric patients with oral mannitol MRI compared to endoscopy and intestinal ultrasound. Eur Radiol 16:207–214

    Article  PubMed  Google Scholar 

  40. Lohan D, Cronin C, Meehan C et al (2007) MR small bowel enterography: optimization of imaging timing. Clin Radiol 62:804–807

    Article  CAS  PubMed  Google Scholar 

  41. Paulsen SR, Huprich JE, Hara AK (2007) CT enterography: noninvasive evaluation of Crohn’s disease and obscure gastrointestinal bleed. Radiol Clin North Am 45:303–315

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  43. Gaca AM, Jaffe TA, Delaney S et al (2008) Radiation doses from small-bowel follow-through and abdomen/pelvis MDCT in pediatric Crohn disease. Pediatr Radiol 38:285–291

    Article  PubMed  Google Scholar 

  44. Rajesh A, Maglinte DD (2006) Multislice CT enteroclysis: technique and clinical applications. Clin Radiol 61:31–39

    Article  CAS  PubMed  Google Scholar 

  45. Rogalla P (2005) CT of the small intestine. Eur Radiol 15:D142–D148

    Article  PubMed  Google Scholar 

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Correspondence to Filomena Carfagnini .

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Carfagnini, F., Baldazzi, M., Poerio, A. (2017). Gastro-Intestinal Tract Radiology. In: Lima, M. (eds) Pediatric Digestive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-40525-4_2

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  • DOI: https://doi.org/10.1007/978-3-319-40525-4_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40523-0

  • Online ISBN: 978-3-319-40525-4

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