Neonatal gastrointestinal emergencies: a radiological review.
Abdominal emergencies
Gastrointestinal emergencies
Neonatal imaging
Pediatric radiology
Radiology
Journal
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
ISSN: 1769-664X
Titre abrégé: Arch Pediatr
Pays: France
ID NLM: 9421356
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
29
06
2021
revised:
10
12
2021
accepted:
30
01
2022
pubmed:
8
3
2022
medline:
5
4
2022
entrez:
7
3
2022
Statut:
ppublish
Résumé
Abdominal emergencies in neonates require surgical management in almost all cases and complications may include bowel perforation, sepsis, shock, and even death. Radiological imaging has become a very important aid in the clinical setting as it shortens time to diagnosis. The objective of this review is to discuss the more prevalent neonatal gastrointestinal emergencies, review appropriate imaging options, and illustrate common radiological presentations of these entities. Despite advancements in imaging techniques, it is important to keep in mind that neonates have a higher susceptibility to the adverse effects of ionizing radiation, and therefore radiography and ultrasonography remain the main diagnostic modalities for ruling out the diseases with the worst prognosis. Other modalities (fluoroscopy, computed tomography, and magnetic resonance imaging) may have limited use in very specific conditions. All providers in an emergency department should be familiar with the basic radiological findings that may indicate a gastrointestinal emergency, especially in health institutions that do not have 24-h radiologist coverage.
Sections du résumé
BACKGROUND
BACKGROUND
Abdominal emergencies in neonates require surgical management in almost all cases and complications may include bowel perforation, sepsis, shock, and even death. Radiological imaging has become a very important aid in the clinical setting as it shortens time to diagnosis.
OBJECTIVE
OBJECTIVE
The objective of this review is to discuss the more prevalent neonatal gastrointestinal emergencies, review appropriate imaging options, and illustrate common radiological presentations of these entities.
CONCLUSION
CONCLUSIONS
Despite advancements in imaging techniques, it is important to keep in mind that neonates have a higher susceptibility to the adverse effects of ionizing radiation, and therefore radiography and ultrasonography remain the main diagnostic modalities for ruling out the diseases with the worst prognosis. Other modalities (fluoroscopy, computed tomography, and magnetic resonance imaging) may have limited use in very specific conditions. All providers in an emergency department should be familiar with the basic radiological findings that may indicate a gastrointestinal emergency, especially in health institutions that do not have 24-h radiologist coverage.
Identifiants
pubmed: 35249799
pii: S0929-693X(22)00034-3
doi: 10.1016/j.arcped.2022.01.016
pmc: PMC8976780
mid: NIHMS1788974
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
159-170Subventions
Organisme : NIBIB NIH HHS
ID : T32 EB004311
Pays : United States
Informations de copyright
Copyright © 2022 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of interest statement None declared.
Références
J Ultrasound Med. 2020 May;39(5):1031-1036
pubmed: 31705672
AJR Am J Roentgenol. 1978 Aug;131(2):350-1
pubmed: 98027
Fetal Diagn Ther. 2016;40(3):235-240
pubmed: 25677577
Pediatr Radiol. 2011 Jan;41(1):42-54
pubmed: 20596703
Radiol Clin North Am. 2003 Nov;41(6):1243-73
pubmed: 14661669
Semin Ultrasound CT MR. 2014 Dec;35(6):555-70
pubmed: 25454052
Ultrasound Obstet Gynecol. 2015 May;45(5):523-9
pubmed: 25157626
Early Hum Dev. 2014 Dec;90(12):921-5
pubmed: 25448782
Am Fam Physician. 1999 Nov 1;60(7):2043-50
pubmed: 10569507
Curr Probl Surg. 2019 Jan;56(1):11-38
pubmed: 30691547
Curr Opin Pediatr. 2013 Jun;25(3):368-74
pubmed: 23615177
Pediatr Surg Int. 2020 Sep;36(9):1093-1101
pubmed: 32572600
An Sist Sanit Navar. 2021 Dec 27;44(3):463-468
pubmed: 34703036
Ann Saudi Med. 2007 Jul-Aug;27(4):289-92
pubmed: 17684434
Insights Imaging. 2012 Jun;3(3):247-50
pubmed: 22696086
Fetal Diagn Ther. 2020;47(2):98-103
pubmed: 31167209
Afr J Paediatr Surg. 2018 Jan-Mar;15(1):26-30
pubmed: 30829305
J Ultrasound. 2014 Jul 19;18(3):205-11
pubmed: 26261462
J Pediatr Gastroenterol Nutr. 2021 Feb 1;72(2):239-243
pubmed: 32826802
Prenat Diagn. 2015 Jul;35(7):699-702
pubmed: 25800990
J Neonatal Surg. 2016 Oct 10;5(4):47
pubmed: 27896155
N Engl J Med. 2011 Jan 20;364(3):255-64
pubmed: 21247316
Eur Radiol. 2019 Feb;29(2):866-876
pubmed: 30054793
J Pediatr Surg. 1979 Jun;14(3):368-75
pubmed: 480102
Ultraschall Med. 2019 Jun;40(3):292-318
pubmed: 31137054
Pediatr Radiol. 2017 Apr;47(4):461-472
pubmed: 27832304
Surg Clin North Am. 2017 Feb;97(1):147-159
pubmed: 27894424
J Neonatal Surg. 2013 Jan 01;2(4):51
pubmed: 26023471
Pediatr Rev. 2019 Oct;40(10):517-527
pubmed: 31575803
Br J Surg. 2014 Jan;101(1):e24-33
pubmed: 24338775
Acad Radiol. 2016 May;23(5):559-68
pubmed: 26857524
Indian J Pediatr. 2017 Aug;84(8):618-623
pubmed: 28600660
AJR Am J Roentgenol. 2012 Jan;198(1):W1-10
pubmed: 22194504
Eurasian J Med. 2010 Dec;42(3):116-9
pubmed: 25610139
Radiol Clin North Am. 2004 Mar;42(2):445-56
pubmed: 15136027
Arch Dis Child Fetal Neonatal Ed. 2019 Nov;104(6):F616
pubmed: 31401615
Pediatr Radiol. 2013 Mar;43(3):318-29
pubmed: 23233046
Pediatr Radiol. 2021 Apr;51(4):506-515
pubmed: 33416922
Abdom Radiol (NY). 2017 Nov;42(11):2776-2777
pubmed: 28528387
J Ultrasound Med. 2016 Apr;35(4):805-18
pubmed: 26960801
AJR Am J Roentgenol. 1992 Dec;159(6):1273-6
pubmed: 1442400
Ital J Pediatr. 2018 Jul 25;44(1):84
pubmed: 30045775
J Obstet Gynaecol Res. 2020 Jul;46(7):1203-1206
pubmed: 32452074
Am J Perinatol. 2018 Dec;35(14):1358-1365
pubmed: 29852509
Afr J Paediatr Surg. 2015 Jan-Mar;12(1):82-5
pubmed: 25659559
Curr Probl Diagn Radiol. 2000 Sep-Oct;29(5):141-79
pubmed: 11027076
J Pediatr Surg. 2005 Aug;40(8):1258-68
pubmed: 16080929
Ultrasound Q. 2018 Sep;34(3):113-118
pubmed: 29369246
Pediatr Surg Int. 2009 Aug;25(8):727-30
pubmed: 19551391
Clin Radiol. 2021 Mar;76(3):163-171
pubmed: 33097229
Emerg Med Clin North Am. 2007 Nov;25(4):1009-40, vi
pubmed: 17950134
Eur J Obstet Gynecol Reprod Biol. 2017 Aug;215:259-260
pubmed: 28624310
Pediatr Radiol. 1984;14(5):346-8
pubmed: 6472925
Hawaii J Med Public Health. 2014 Feb;73(2):58-60
pubmed: 24567869
BMJ Case Rep. 2018 Jan 6;2018:
pubmed: 29306860
Pediatr Radiol. 2022 Apr;52(4):702-715
pubmed: 34654968
Pediatr Radiol. 1998 Dec;28(12):933-6
pubmed: 9880636
J Radiol Case Rep. 2019 Jul 31;13(7):29-43
pubmed: 31558965