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Imaging Features of Neonatal Bowel Obstruction.
Radiographics
August 2023
From the Department of Radiology, BC Children's Hospital, 4500 Oak St, Vancouver, BC, Canada V6H 3N1, and Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (S.K.G.); and Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada, and Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (O.M.N.).
Article Synopsis
- Radiologic evaluation of neonatal bowel obstruction is complicated due to overlapping clinical features and imaging results from various diagnoses, necessitating a careful analysis of gestational age, clinical signs, and imaging studies.
- Radiographs help confirm bowel obstruction and discern if it is proximal or distal, but additional imaging, such as upper or lower gastrointestinal contrast studies and ultrasound (US), are crucial for accurate diagnosis.
- The article reviews various conditions like esophageal atresia, hypertrophic pyloric stenosis, and malrotation with midgut volvulus, highlighting specific imaging patterns and the benefits of using US in the diagnostic process.
Acute gastrointestinal bleeding is a common major emergency (Internal medical or gastroenterological or medical), approximately 85 % of which occur in the upper GI tract. It is estimated that about a half of upper GI bleeds are caused by peptic ulcers. Upper GI bleeds are associated with more severe bleeding and poorer outcomes when compared to middle or lower GI bleeds.
View Article and Find Full Text PDFEosinophilic Esophagitis: An Evidence-Based Approach to Therapy.
J Investig Allergol Clin Immunol
April 2016
In recent years, several randomized controlled trials and meta-analyses have evaluated the efficacy of the various therapeutic options available for treating patients with eosinophilic esophagitis, including dietary modifications, proton pump inhibitors, topical corticosteroids, and endoscopic esophageal dilation. Proton pump inhibitors are currently considered the first-line treatment for eosinophilic esophagitis, achieving histological remission and improvement of symptoms in 50.5% and 60.
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