The Gastrointestinal Tract

Munden, Martha M.; Paltiel, Harriet J.

doi:10.1007/978-3-030-56802-3_10

Cited by 2 publications

(2 citation statements)

References 244 publications

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“…Centrally, there will be a crescentic hyperechoic region due to invaginated mesentry [ Figure 4 and Video 3 ]. [ 13 14 ] There is increasing recognition of short segment, brief, transient, self-resolving ileoileal intussusception without an identified lead point, which may be incidental or occur in association with many other conditions (due to hyperperistalsis, lymphoid hyperplasia, focal wall thickening, etc.). As this type of intussusception is self-resolving, it does not have the same treatment implications as either persisting intussusception or ileocolic intussusception.…”

Section: Ntussusceptionmentioning

confidence: 99%

Right Iliac Fossa Pain other than Appendicitis

Goudie

2023

Journal of Medical Ultrasound

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Right iliac fossa pain is a common presentation. Although appendicitis is the most common surgical emergency, many other pathologies can have similar presentations and should be considered. This review describes the findings and shows examples of conditions other than appendicitis that should be examined for in a patient who presents with right iliac fossa pain, particularly if the appendix is not seen or seen to be normal.

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Section: Ntussusceptionmentioning

confidence: 99%

Right Iliac Fossa Pain other than Appendicitis

Goudie

2023

Journal of Medical Ultrasound

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“…Although palpation of the pylorus is diagnostic, its detection rate at the time of diagnosis has decreased to 13.6% due to the increasing use of B-mode US [ 6 ], which is now the gold standard diagnostic method. A diagnosis is made when the single-wall thickness of the pylorus is greater than 3 mm in transverse measurement and its length is longer than 15 mm longitudinally [ 7 , 8 ]. Ramstedt pyloromyotomy (open or laparoscopic) has been the treatment of choice since it was described by Ramstedt in 1911 [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of two-dimensional shear-wave sonoelastography in the diagnosis and follow-up of infantile hypertrophic pyloric stenosis

Demir,

Unlu,

Kiris Uzun

et al. 2024

Pediatr Surg Int

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Introduction We sought to determine the effectiveness and utility of two-dimensional shear-wave sonoelastography (2D-SW-SE) in the diagnosis and postoperative follow-up of infantile hypertrophic pyloric stenosis (IHPS). Materials and Methods Twenty-three infants were included in the study, 13 in the IHPS group and 10 in the control group (CG). Preoperative B-mode ultrasonography measurements (longitudinal length and single-wall thickness of the pylorus) and 2D-SW-SE measurements (pylorus tissue stiffness and shear-wave propagation speed) were compared between the groups. The infants with IHPS then underwent Ramstedt pyloromyotomy and were invited for follow-ups on the tenth day and the first, third, and sixth months postoperatively. Measurements taken at the follow-ups were compared with the preoperative values. Results No differences were found between the groups regarding age, gender, body weight, or week of birth. The pyloric lengths in the IHPS group were longer than in the CG (p < 0.001), and the single-wall thicknesses were thicker (p < 0.001). The pylorus in the IHPS group was four times stiffer than in the CG (27.4 kPa versus 7.66 kPa), and the shear-wave propagation speed in the tissue was higher (1.34 m/s versus 2.69 m/s; p < 0.001). Both values decreased over time in the IHPS group and were normal by the third postoperative month. Conclusions 2D-SW-SE can be used as an assistive imaging tool alongside B-mode ultrasound for diagnosing IHPS. It can also be used to identify inadequate surgery by detecting whether the pyloric tissue has softened at follow-up.

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The Gastrointestinal Tract

Cited by 2 publications

References 244 publications

Right Iliac Fossa Pain other than Appendicitis

Right Iliac Fossa Pain other than Appendicitis

Effectiveness of two-dimensional shear-wave sonoelastography in the diagnosis and follow-up of infantile hypertrophic pyloric stenosis

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