Article Text

PDF
Question 2 Is Doppler ultrasound superior to upper gastrointestinal contrast study for the diagnosis of malrotation?
  1. Michael A Quail
  1. Correspondence to Michael Quail, Cardiac Unit, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N, UK; michael.quail{at}googlemail.com

Statistics from Altmetric.com

Scenario

Three-day-old twins are reported to have persistent bilious vomiting on the postnatal ward. You suspect midgut malrotation and it is suggested by a colleague that a Doppler ultrasound might be a better investigation than an upper gastrointestinal (UGI) contrast study, as it does not involve radiation and is non-invasive. You are uncertain which test is best.

Structured clinical question

In an infant with bilious vomiting [patient], is a Doppler ultrasound [intervention] superior to an UGI contrast study [comparison] for the diagnosis of malrotation [outcome]?

Search strategy

Secondary sources

A search of the Cochrane database of systematic reviews and BestBETS website identified no relevant articles.

Primary sources

An Ovid Medline (1950–2010) search was performed using the search terms: Intestinal Volvulus/or malrotation.mp. AND ultrasound.mp.

Search limits

Searches were limited to English language, human, infant (birth–23 months).

A total of 37 articles were retrieved, and the abstracts were reviewed. Four relevant studies were identified (see table 2).

View this table:
Table 2

Is Doppler ultrasound superior to upper gastrointestinal contrast study for the diagnosis of malrotation?

Commentary

Malrotation of the midgut is a congenital abnormality …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.