Diagnostic advantages of manual compression fluoroscopy in the radiologic work-up of vomiting neonates.

Abstract:

:This paper describes a simple and effective fluoroscopic technique that remarkably improves diagnostic accuracy when evaluating vomiting newborns. The technique also minimizes the time of the examination and the radiation dose to the patient and radiology personnel. Several examples are presented illustrating the superiority of gloved hand or nonopaque compression technique to conventional contrast radiography, emphasizing babies with pyloric stenosis and midgut malrotation. The technical limitations and diagnostic pitfalls of conventional contrast modalities are compared to the highly diagnostic images obtained with manual compression fluoroscopy. All of the classic radiographic signs of pyloric stenosis can be mimicked by antral spasm or pylorospasm. Gloved hand compression overcomes antral spasm and clearly shows the true length and diameter of the pyloric canal in these two conditions. Malposition of the duodenojejunal junction is the only consistently diagnostic sign of midgut malrotation. Nonfixation of the duodenojejunal junction can be competently assessed by compression fluoroscopy, confirming malrotation and midgut volvulus simultaneously and bringing the patient to operation much sooner than with less precise conventional techniques. Gloved hand compression technique also evaluates stenotic areas in the upper gastrointestinal tract, distinguishing spasm from organic marrowing and clearly identifying those which need surgical intervention. Facilitating intubation of the duodenum is a final contribution of compression fluoroscopy.

journal_name

J Pediatr Surg

authors

Yousefzadeh DK,Soper RT,Jackson JH Jr

doi

10.1016/s0022-3468(80)80135-7

subject

Has Abstract

pub_date

1980-06-01 00:00:00

pages

270-8

issue

3

eissn

0022-3468

issn

1531-5037

pii

S0022346880000565

journal_volume

15

pub_type

杂志文章
  • Oesophageal atresia with no distal tracheoesophageal fistula: Management and outcomes from a population-based cohort.

    abstract:PURPOSE:To describe the incidence and outcomes to one-year in infants born with oesophageal atresia (OA) with no distal tracheoesophageal fistula within a population cohort. METHODS:A subgroup analysis of a prospective multicentre population cohort study was undertaken describing the outcomes of infants with OA and no...

    journal_title:Journal of pediatric surgery

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.jpedsurg.2016.11.008

    authors: Long AM,Tyraskis A,Allin B,Burge DM,Knight M

    更新日期:2017-02-01 00:00:00

  • Prepyloric antral diaphragm: delays in treatment.

    abstract::Six cases of prepyloric antral diaphragm were encountered at Children's Hospital Medical Center of Akron between 1965 and 1985, with approximately 150 cases reported in the literature during this time. In our series, a delay from onset of symptoms to treatment existed for a period of 4 months to 6 years. We suggest th...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(87)80597-3

    authors: Blazek FD,Boeckman CR

    更新日期:1987-10-01 00:00:00

  • Influence of thoracoscopic esophageal atresia repair on esophageal motor function and gastroesophageal reflux.

    abstract:BACKGROUND/PURPOSE:Thoracoscopic repair has recently been attempted in newborns with esophageal atresia (EA), but it remains unclear whether thoracoscopic dissection reduces pathological gastroesophageal reflux. We investigated the influence of a thoracoscopic approach on esophageal motor function in patients with EA. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2009.07.049

    authors: Kawahara H,Okuyama H,Mitani Y,Nomura M,Nose K,Yoneda A,Hasegawa T,Kubota A,Fukuzawa M

    更新日期:2009-12-01 00:00:00

  • Differentiation of mouse neuroblastoma cells in vitro and in vivo induced by cyclic adenosine monophosphate (cAMP).

    abstract::The murine neuroblastoma appears to be a useful model for elucidating the mechanism of cellular differentiation. In tissue culture, MNB cells were induced to "irreversibly" differentiate into neuronal-like cells by DBcAMP alone or in combination with cAMP phosphodiesterase inhibitors: papaverine (Pap) and theophylline...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(76)90113-5

    authors: Chang JH,Prasad KN

    更新日期:1976-10-01 00:00:00

  • Immune thrombocytopenia: surgical therapy and predictors of response.

    abstract::We have reviewed 40 patients with immune thrombocytopenia purpura (ITP) to assess current methods of preparation for surgery and to evaluate perioperative complications and response to splenectomy. Twenty-one patients had chronic ITP (greater than 1 year duration) and 19 patients had severe acute thrombocytopenia (pla...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(91)90987-5

    authors: Davis PW,Williams DA,Shamberger RC

    更新日期:1991-04-01 00:00:00

  • The effect of bladder diverticula on bladder function: An experimental study in rabbits.

    abstract:OBJECTIVE:This study aims to evaluate the effect of bladder diverticula (BD) on bladder function using a rabbit model, based on urodynamic findings. METHODS:A total of 32 New Zealand white rabbits were randomly assigned to four groups: (1) sham surgery; (2) a single, 1-cm-diameter BD; (3) a single, large, 3-cm-diamete...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2016.02.087

    authors: Celebi S,Kuzdan Ö,Özaydın S,Başdaş C,Özaydın İ,Yazıcı M,Sander S

    更新日期:2016-09-01 00:00:00

  • A Canadian national survey: understanding the differences in management of cryptorchidism among pediatric surgeons and pediatric urologists.

    abstract:BACKGROUND:This investigation aims to assess the variability in practice patterns regarding management of children with cryptorchidism (UDT) among pediatric urologists (U) and pediatric surgeons (S) practicing in Canada. METHODS:All active members of Pediatric Urologists of Canada (PUC) and Canadian Association of Ped...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2018.10.053

    authors: Kim JK,Chua M,Braga L,Langer JC,Hancock BJ,Lorenzo AJ,Bagli D,Farhat WA,Koyle MA

    更新日期:2019-09-01 00:00:00

  • Congenital mesenchymoma of tibia: case report and review of literature.

    abstract::Fibrocartilaginous mesenchymoma is a rare bone tumor arising from long bones in children and adolescents. With only 21 cases reported in the literature, it is often not included in the differential diagnosis in patients with a bone tumor. Previously, the youngest case reported was in a 19-month-old boy, and a congenit...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jpedsurg.2012.08.039

    authors: Kumar V,Behera P,Shashikanth VS,Sudesh P

    更新日期:2012-12-01 00:00:00

  • Bronchomegaly as a complication of fetal endoscopic tracheal occlusion. A caution and a possible solution.

    abstract::Fetal medicine is developing rapidly and aims to improve the outcome for fetuses with congenital anomalies. Fetal endoscopic tracheal occlusion (FETO) has been developed for fetuses with congenital diaphragmatic hernia to counterbalance the compression of the lung by the abdominal viscera, preserving the pulmonary mat...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2011.01.027

    authors: Speggiorin S,Fierens A,McHugh K,Roebuck DJ,McLaren CA,Mok Q,Broadhead M,Elliott MJ

    更新日期:2011-05-01 00:00:00

  • Inhibiting hydrogen sulfide production in umbilical stem cells reduces their protective effects during experimental necrotizing enterocolitis.

    abstract:INTRODUCTION:Umbilical mesenchymal stem cells (USC) have been shown to reduce illness in animal models of necrotizing enterocolitis (NEC), possibly through the paracrine release of hydrogen sulfide (H2S). We hypothesized that animals treated with USCs with inhibited H2S synthesis would exhibit more severe disease. MET...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2019.02.037

    authors: Drucker NA,Te Winkel JP,Shelley WC,Olson KR,Markel TA

    更新日期:2019-06-01 00:00:00

  • Feasibility and safety of using low-body-weight donors in pediatric liver transplantation.

    abstract:BACKGROUND:Donors with low-body-weight were previously reported to be related to inferior recipient outcomes in pediatric liver transplantation. However, the scarce availability of age and size-matched organs has encouraged us to re-evaluate the feasibility and safety of using low-body-weight donors. METHODS:We retros...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2019.04.023

    authors: Song Z,Ma N,Dong C,Sun C,Meng X,Zhang W,Wang K,Wu B,Li S,Qin H,Han C,Li H,Gao W,Shen Z

    更新日期:2019-11-01 00:00:00

  • The epidemiology of infant injuries and alarming health disparities.

    abstract:PURPOSE:Injury epidemiology is the underappreciated foundation of injury prevention and control strategies. Given the substantial disparity of infant injury-related mortality between African Americans (AA) and whites in our region, we sought to better understand the epidemiology of infant injury-related mortality rates...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2006.09.015

    authors: Falcone RA Jr,Brown RL,Garcia VF

    更新日期:2007-01-01 00:00:00

  • Ossifying renal tumor of infancy (ORTI): a case report and review of the literature.

    abstract::We present the case of a 6-month-old boy who was referred to us with the chief complaint of intermittent painless gross hematuria. Computed tomography (CT) scan of the abdomen showed a partially calcified soft-tissue mass that was located in the lower pole of the right kidney and extended into the collecting system. C...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jpedsurg.2012.12.020

    authors: Hu J,Wu Y,Qi J,Zhang C,Lv F

    更新日期:2013-02-01 00:00:00

  • Recurrence after laparoscopic excision of nonparasitic splenic cysts.

    abstract:BACKGROUND:Minimally invasive treatments for nonparasitic splenic cysts are well described. Recent evidence suggests that laparoscopic splenic cystectomy is associated with high recurrence rates in children. Because these cysts are uncommon, no large series is available. We reviewed our clinical data focusing on cyst r...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2007.12.052

    authors: Fisher JC,Gurung B,Cowles RA

    更新日期:2008-09-01 00:00:00

  • The therapy of biliary atresia combining the Kasai portoenterostomy with liver transplantation: a single center experience.

    abstract::Survival has improved dramatically for children with extrahepatic biliary atresia (EHBA), but optimal surgical management remains controversial. We have studied 28 infants born between June 1981, and April 1988, who underwent Kasai's portoenterostomy as primary surgical treatment. Those with evidence of subsequent hep...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(05)80182-4

    authors: Vacanti JP,Shamberger RC,Eraklis A,Lillehei CW

    更新日期:1990-01-01 00:00:00

  • Laparoscopic appendectomy: An unnecessary and expensive procedure in children?

    abstract:BACKGROUND/PURPOSE:Laparoscopic Appendectomy (LA) is a safe procedure in adults resulting in shorter hospitalization and sooner return to activity. The relative merits of LA and open appendectomy (OA) are evaluated in this first prospective and randomized study in children. METHODS:A total of 129 children with appendi...

    journal_title:Journal of pediatric surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1053/jpsu.2002.30841

    authors: Little DC,Custer MD,May BH,Blalock SE,Cooney DR

    更新日期:2002-03-01 00:00:00

  • Cystic duodenal duplication: staged management in a premature infant.

    abstract::Cystic duplication of the duodenum is a rare anomaly of the gastrointestinal tract. Patients may present in early childhood with symptoms of upper intestinal obstruction. Successful, staged management of a cystic duodenal duplication in an 880-g infant is described. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(93)90106-u

    authors: Bergman KS,Jacir NN

    更新日期:1993-12-01 00:00:00

  • Rectal gastric heterotopia in infancy.

    abstract::Heterotopic gastric mucosa is rare in children with most cases presenting in association with Meckel's diverticulum. The authors present a 2-year-old boy with gastric heterotopia of the anorectum, who presented with painless, intermittent rectal bleeding. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/jpsu.2002.35420

    authors: Wiersma R,Hadley GP,Govender D,Grant HW

    更新日期:2002-10-01 00:00:00

  • Surgical and genetic aspects of persistent müllerian duct syndrome.

    abstract::Persistent müllerian duct syndrome (PMDS) is characterized by the presence of a uterus, cervix, and fallopian tubes in an otherwise normally differentiated 46.XY male. During embryogenesis, regression of müllerian structures in normal males is mediated by antimüllerian hormone (AMH), also called müllerian inhibiting s...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(94)90525-8

    authors: Loeff DS,Imbeaud S,Reyes HM,Meller JL,Rosenthal IM

    更新日期:1994-01-01 00:00:00

  • Tension gastrothorax.

    abstract:BACKGROUND:Tension gastrothorax develops when the stomach herniated through a congenital diaphragmatic defect into the thorax is massively distended by trapped air. The authors present 5 cases and discuss the diagnostic and therapeutic management. CASE REPORTS:Four children, aged 3, 4, 6, and 13 months, presented with...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2005.05.079

    authors: Horst M,Sacher P,Molz G,Willi UV,Meuli M

    更新日期:2005-09-01 00:00:00

  • Review of bedside surgeon-performed ultrasound in pediatric patients.

    abstract:PURPOSE:Pediatric surgeon performed bedside ultrasound (PSPBUS) is a targeted examination that is diagnostic or therapeutic. The aim of this paper is to review literature involving PSPBUS. METHODS:PSPBUS practices reviewed in this paper include central venous catheter placement, physiologic assessment (volume status a...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jpedsurg.2018.04.040

    authors: Bonasso PC,Dassinger MS,Wyrick DL,Gurien LA,Burford JM,Smith SD

    更新日期:2018-11-01 00:00:00

  • Hirschsprung's disease: absence of serotonergic neurons in the aganglionic colon.

    abstract::The distribution of enteric serotonergic neurons was studied in patients with Hirschsprung's disease. Specimens of bowel obtained at surgery were incubated in vitro with tritiated serotonin (3H-5-HT) in the presence of a high concentration of nonradioactive norepinephrine. Sites of high-affinity 3H-5-HT uptake were vi...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(78)80102-x

    authors: Rogawski MA,Goodrich JT,Gershon MD,Touloukian RJ

    更新日期:1978-12-01 00:00:00

  • The treatment of abdominoscrotal hydrocele: Is there a role for nonoperative management?

    abstract:BACKGROUND/PURPOSE:Abdominoscrotal hydrocele (ASH) is an uncommon entity. Until now, the recommended treatment has been surgical. There is only one successful case of nonoperative management reported in literature. We report the largest series of children with ASH, and provide evidence in support of an initial nonopera...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2016.02.029

    authors: Khorasani M,Jamieson DH,Langer K,Murphy JJ

    更新日期:2016-05-01 00:00:00

  • Repeat nephron-sparing surgery for children with bilateral Wilms tumor.

    abstract:BACKGROUND:Renal insufficiency is a significant complication of Wilms tumor treatment in the 5% with bilateral disease. Nephron-sparing surgery (NSS) is recommended after neoadjuvant chemotherapy initially. However, the role of NSS in recurrent disease is unknown. We reviewed our experience to assess the feasibility an...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2013.09.048

    authors: Kieran K,Williams MA,McGregor LM,Dome JS,Krasin MJ,Davidoff AM

    更新日期:2014-01-01 00:00:00

  • A case of tracheal agenesis surviving without mechanical ventilation after external esophageal stenting.

    abstract::Tracheal agenesis is a rare and usually lethal congenital malformation of the forgut. Although some infants can be resuscitated with an intra-esophageal intubation temporarily, long-term airway management is difficult because of the collapsing airway. We report a long-term survivor with tracheal agenesis in whom a Gor...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2008.06.013

    authors: Watanabe T,Okuyama H,Kubota A,Kawahara H,Hasegawa T,Ueno T,Saka R,Morishita Y

    更新日期:2008-10-01 00:00:00

  • Predictors of postnatal outcome in neonates with gastroschisis.

    abstract:BACKGROUND/PURPOSE:The optimal management of neonates with gastroschisis is unclear, and there is a significant morbidity. We performed a review of neonates with gastroschisis treated at our center of pediatric surgery over the last 21 years to determine predictive factors of outcome. METHODS:Single-center retrospecti...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2011.07.012

    authors: Kassa AM,Lilja HE

    更新日期:2011-11-01 00:00:00

  • Thoracic outlet syndrome in a child--transaxillary resection of anomalous first rib.

    abstract::Thoracic outlet syndrome (TOS) is extremely rare in children. Only several pediatric cases have been reported, and all presented with neurologic symptoms. The authors report on a 6-year-old boy with an asymptomatic left subclavian artery aneurysm caused by compression of the subclavian artery by an anomalous first rib...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/jpsu.2002.34483

    authors: DiFiore JW,Reid JR,Drummond-Webb J

    更新日期:2002-08-01 00:00:00

  • Management of nonparasitic splenic cysts in children: A French multicenter review of 100 cases.

    abstract:BACKGROUND:The management of nonparasitic splenic cysts (NPSC) remains controversial. Surgical resection is indicated for symptomatic or complicated forms, but no guidelines are available for asymptomatic NPSC. The aims of this study were to evaluate the management of NPSC in French hospitals and to analyze the results...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jpedsurg.2017.01.054

    authors: Delforge X,Chaussy Y,Borrego P,Abbo O,Sauvat F,Ballouhey Q,Irtan S,Arnaud A,Ibtissam K,Panait N,Rodesch G,Steyaert H,Schneider A,Dubois R,Mesureur S,Haraux E,Buisson P

    更新日期:2017-09-01 00:00:00

  • The second STEP: the feasibility of repeat serial transverse enteroplasty.

    abstract:BACKGROUND:Serial transverse enteroplasty (STEP) lengthens and tapers dilated bowel. Redilation of the STEP segment occurs in some patients with intestinal failure. The feasibility of a repeat STEP procedure in a pig model is evaluated. METHODS:Six pigs underwent reversal of an intestinal segment distal to the ligamen...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2006.08.015

    authors: Piper H,Modi BP,Kim HB,Fauza D,Glickman J,Jaksic T

    更新日期:2006-12-01 00:00:00

  • Obstructive jaundice, an unusual initial manifestation of intraabdominal non-Hodgkin's lymphoma in children: complications of percutaneous transhepatic cholangial drainage.

    abstract::Obstructive jaundice is an unusual initial manifestation of non-Hodgkin's lymphoma in children. Two pediatric patients with primary intraabdominal non-Hodgkin's lymphoma causing obstructive jaundice are presented. Although percutaneous transhepatic cholangial drainage (PTCD) is frequently used to treat obstructive jau...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(97)90733-8

    authors: Watanabe Y,Ito T,Horibe K,Harada T,Ando H,Seo T,Ito F,Nimura Y

    更新日期:1997-04-01 00:00:00