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A pattern-based approach to bowel obstruction in the newborn.

Publication ,  Journal Article
Maxfield, CM; Bartz, BH; Shaffer, JL
Published in: Pediatr Radiol
March 2013

Intestinal obstruction is common in newborns, and the radiologist plays a critical role in the care of these children. Diagnosing and managing the potentially obstructed newborn can be challenging, especially given the myriad underlying pathologies that range from benign to acutely life-threatening. A familiarity with the most common diagnoses is essential, but equally important to the radiologist is a systematic approach to management of the child in this setting. We propose an approach based on the recognition of eight radiographic patterns, five upper gastrointestinal examination (UGI) patterns and four contrast enema patterns. Recognition of these patterns directs further imaging when necessary and allows triage of children who can be managed medically, those requiring elective or urgent surgery and those requiring emergent surgery.

Duke Scholars

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Published In

Pediatr Radiol

DOI

EISSN

1432-1998

Publication Date

March 2013

Volume

43

Issue

3

Start / End Page

318 / 329

Location

Germany

Related Subject Headings

  • Ultrasonography
  • Sensitivity and Specificity
  • Reproducibility of Results
  • Radiography, Abdominal
  • Pattern Recognition, Automated
  • Nuclear Medicine & Medical Imaging
  • Male
  • Intestinal Obstruction
  • Infant, Newborn
  • Humans
 

Citation

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Maxfield, C. M., Bartz, B. H., & Shaffer, J. L. (2013). A pattern-based approach to bowel obstruction in the newborn. Pediatr Radiol, 43(3), 318–329. https://doi.org/10.1007/s00247-012-2573-1
Maxfield, Charles M., Brett H. Bartz, and Jennifer L. Shaffer. “A pattern-based approach to bowel obstruction in the newborn.Pediatr Radiol 43, no. 3 (March 2013): 318–29. https://doi.org/10.1007/s00247-012-2573-1.
Maxfield CM, Bartz BH, Shaffer JL. A pattern-based approach to bowel obstruction in the newborn. Pediatr Radiol. 2013 Mar;43(3):318–29.
Maxfield, Charles M., et al. “A pattern-based approach to bowel obstruction in the newborn.Pediatr Radiol, vol. 43, no. 3, Mar. 2013, pp. 318–29. Pubmed, doi:10.1007/s00247-012-2573-1.
Maxfield CM, Bartz BH, Shaffer JL. A pattern-based approach to bowel obstruction in the newborn. Pediatr Radiol. 2013 Mar;43(3):318–329.
Journal cover image

Published In

Pediatr Radiol

DOI

EISSN

1432-1998

Publication Date

March 2013

Volume

43

Issue

3

Start / End Page

318 / 329

Location

Germany

Related Subject Headings

  • Ultrasonography
  • Sensitivity and Specificity
  • Reproducibility of Results
  • Radiography, Abdominal
  • Pattern Recognition, Automated
  • Nuclear Medicine & Medical Imaging
  • Male
  • Intestinal Obstruction
  • Infant, Newborn
  • Humans