scholarly journals Bilious Vomiting in the Newborn: A Three-Year Experience in a Tertiary Medical and Surgical Centre

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Rebecca A Lee ◽  
Theodore Dassios ◽  
Ravindra Bhat ◽  
Anne Greenough
Keyword(s):  
Ovarian Cyst ◽  
Skeletal Dysplasia ◽  
Brain Mri ◽  
Correct Diagnosis ◽  
Medical Centre ◽  
Medical Team ◽  
Bilious Vomiting ◽  
Surgical Unit ◽  
Upper Gastrointestinal ◽  
Contrast Studies

Background. Bilious vomiting in the newborn is common and requires urgent attention to exclude malrotation. The proportion of neonates with surgical abnormalities, however, is small, and there are other causes. Study Objectives. We reviewed our experience of infants with bilious vomiting to demonstrate the importance of input from the tertiary surgical and medical team to arrive at the correct diagnosis. Design. Admissions with bilious vomiting/aspirates of term born infants over a three-year period to a tertiary medical and surgical unit were reviewed. Results. During the study period, 48 infants were admitted with bilious vomiting. Forty-five infants had upper gastrointestinal (UGI) contrast studies, and only six had an abnormal study: four had malrotation and two had Hirschsprung’s disease. Of the infants with a normal UGI study, no cause was identified in 20 cases, 13 infants were treated for sepsis, one had a meconium plug, one an ovarian cyst, and two infants were polycythaemic. One infant was diagnosed with bilateral polymicrogyria (PMG) on brain MRI and another was found to have hypochondroplasia FGFR3 skeletal dysplasia. Conclusion. Neonates with bilious vomiting may have a variety of underlying diagnoses and need to be referred to a tertiary surgical and medical centre to ensure appropriate diagnosis is made.

scholarly journals Dextrogastria and Malrotation of Midgut in a Neonate

2018 ◽  
Vol 7 (2) ◽  
pp. 26
Author(s):  
Dandamudi Meghana ◽  
Attibele Mahadevaiah Shubha ◽  
Kanishka Das
Keyword(s):  
Contrast Study ◽  
Upper Gastrointestinal Contrast Study ◽  
Bilious Vomiting ◽  
Upper Gastrointestinal ◽  
Ladd’S Procedure

A neonate presented with bilious vomiting and hematochezia. The infantogram and upper gastrointestinal contrast study were suggestive of dextrogastria with malrotation of midgut. Laparotomy confirmed isolated dextrogastria, malrotation of the midgut and volvulus. Reverse Ladd’s procedure was done.

Assessing the value of routine upper gastrointestinal contrast studies following bariatric surgery: a systematic review and meta-analysis

2015 ◽  
Vol 209 (4) ◽  
pp. 616-622 ◽  
Author(s):  
Tafari Mbadiwe ◽  
Edward Prevatt ◽  
Andre Duerinckx ◽  
Edward Cornwell ◽  
Terrence Fullum ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bariatric Surgery ◽  
Meta Analysis ◽  
Upper Gastrointestinal ◽  
Contrast Studies

scholarly journals Differentiation between sigmoid volvulus and free air on supine abdominal radiographs: The 'liver overlap sign' versus the 'football sign'

1997 ◽  
Vol 2 (2) ◽  
pp. 24-26
Author(s):  
W. F.C. Van Gelderen
Keyword(s):  
Correct Diagnosis ◽  
Sigmoid Volvulus ◽  
Abdominal Radiograph ◽  
Hollow Viscus ◽  
Free Air ◽  
Abdominal Radiographs ◽  
Contrast Studies

Two cases are presented which emphasize the difficulty of differentiating between a sigmoid volvulus, where the 'liver overlap sign' is the only sign present, and perforation of a hollow viscus where the only sign on a supine abdominal radiograph may be the 'football sign' simulating a 'liver overlap sign'. In the case of sigmoid volvulus described in this report, the correct diagnosis established only with much difficulty and after further conventional radiographs and contrast studies.

UPPER GASTROINTESTINAL HAEMORRHAGE IN THE ELDERLY: A RECORD OF 92 PATIENTS IN A JOINT GERIATRIC/SURGICAL UNIT

1987 ◽  
Vol 16 (5) ◽  
pp. 279-284 ◽  
Author(s):  
S. K. BANSAL ◽  
P. C. GAUTAM ◽  
S. P. SAHI ◽  
S. K. BASU ◽  
J. M. LENNOX ◽  
...  
Keyword(s):  
Gastrointestinal Haemorrhage ◽  
The Elderly ◽  
Surgical Unit ◽  
Upper Gastrointestinal

scholarly journals Airway Complications from an Esophageal Foreign Body

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Ismael Garcia ◽  
Joseph Varon ◽  
Salim Surani
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Correct Diagnosis ◽  
Diagnosis And Treatment ◽  
Esophageal Foreign Body ◽  
Hypoxemic Respiratory Failure ◽  
Endoscopic Intervention ◽  
Foreign Body Impaction ◽  
Upper Gastrointestinal

Introduction. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention.Case Report. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention.Conclusions. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.

Use of Abdominal and Pelvic Ultrasound in The Evaluation of Chronic Abdominal Pain

1993 ◽  
Vol 32 (3) ◽  
pp. 147-150 ◽  
Author(s):  
Rosemary E. Schmidt ◽  
Diane S. Babcock ◽  
Michael K. Farrell
Keyword(s):  
Abdominal Pain ◽  
Ovarian Cyst ◽  
Medical Records ◽  
Chronic Abdominal Pain ◽  
Pelvic Ultrasound ◽  
Referring Physicians ◽  
Contrast Studies

The value of sonography in assessing chronic abdominal pain (CAP) in children, the characteristics of CAP, and the local pediatrician's practice in evaluating CAP are reported. Fifty-seven patients with CAP had abdominal and/or pelvic sonography; 56 were normal. One sonogram showed an ovarian cyst on the side opposite the CAP; the cyst later resolved. Pain was usually localized in the periumbilical area (56%). Follow-up data were obtained from referring physicians and patients' medical records. No serious diagnosis related to CAP was missed. After six months, CAP had resolved in 43% of patients. Of the responding physicians, 61 % indicated they would have used more and costlier contrast studies if ultrasonography had been unavailable.

scholarly journals Is There a Role for Elective Early Upper Gastrointestinal Contrast Study in Neurologically Impaired Children following Laparoscopic Nissen Fundoplication?

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 813
Author(s):  
Thomas M. Benkoe ◽  
Katrin Rezkalla ◽  
Lukas Wisgrill ◽  
Martin L. Metzelder
Keyword(s):  
Postoperative Complications ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Contrast Study ◽  
Neurologically Impaired ◽  
Early Postoperative Complications ◽  
Laparoscopic Nissen ◽  
Upper Gastrointestinal ◽  
Contrast Studies

Assessment of discomfort as a sign for early postoperative complications in neurologically impaired (NI) children is challenging. The necessity of early routine upper gastrointestinal (UGI) contrast studies following laparoscopic Nissen fundoplication in NI children is unclear. We aimed to evaluate the role of scheduled UGI contrast studies to identify early postoperative complications following laparoscopic Nissen fundoplication in NI children. Data for laparoscopic Nissen fundoplications performed in NI children between January 2004 and June 2021 were reviewed. A total of 103 patients were included, with 60 of these being boys. Mean age at initial operation was 6.51 (0.11–18.41) years. Mean body weight was 16.22 (3.3–62.5) kg. Mean duration of follow up was 4.15 (0.01–16.65 years) years. Thirteen redo fundoplications (12.5%) were performed during the follow up period; eleven had one redo and two had 2 redos. Elective postoperative UGI contrast studies were performed in 94 patients (91%). Early postoperative UGI contrast studies were able to identify only one complication: an intrathoracal wrap herniation on postoperative day five, necessitating a reoperation on day six. The use of early UGI contrast imaging following pediatric laparoscopic Nissen fundoplication is not necessary as it does not identify a significant number of acute postoperative complications requiring re-intervention.

scholarly journals Young-Onset Dementia with Lewy Bodies

2018 ◽  
Vol 10 (3) ◽  
pp. 363-368
Author(s):  
Yosuke Aiba ◽  
Ryuji Sakakibara ◽  
Tsuyoshi Ogata ◽  
Ayako Iimura ◽  
Keiichiro Terayama ◽  
...  
Keyword(s):  
Dementia With Lewy Bodies ◽  
Brain Mri ◽  
Correct Diagnosis ◽  
Lewy Bodies ◽  
Rem Sleep Behavior Disorder ◽  
Brain Perfusion ◽  
Imaging Features ◽  
Sleep Behavior ◽  
Young Onset ◽  
Young Onset Dementia

Young-onset (< 65 years) dementia is a challenging clinical problem. A 61-year-old man visited our clinic because of a 2-year history of mild cognitive impairment of the executive disorder type. He was initially suspected of having young-onset Alzheimer’s disease due to the lack of motor signs or hippocampal atrophy by conventional brain MRI. However, he proved to have anosmia, erectile dysfunction, hypersexuality, constipation, REM sleep behavior disorder, and emotional lability; imaging findings included positive brain perfusion SPECT, nigrosome MRI, DAT scan, and MIBG myocardial scintigraphy. All these clinical imaging features led to the correct diagnosis of young-onset dementia with Lewy bodies (YOD-DLB). It is hoped that this case report will help facilitate a future prospective study to diagnose and follow YOD-DLB patients with the aim of determining appropriate management and care.

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