Statistics from Altmetric.com
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]?
A search of the Cochrane database of systematic reviews and BestBETS website identified no relevant articles.
An Ovid Medline (1950–2010) search was performed using the search terms: Intestinal Volvulus/or malrotation.mp. AND ultrasound.mp.
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).
Malrotation of the midgut is a congenital abnormality …
Provenance and peer review Not commissioned; externally peer reviewed.
Competing interests None.
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.