Department of Radiology, University of Washington Medical Center, Seattle, WA, USA.
Pediatr Radiol. 2012 Jun;42(6):728-37. doi: 10.1007/s00247-012-2375-5. Epub 2012 Mar 29.
Gastric outlet obstruction in children encompasses a spectrum of disorders that extends beyond hypertrophic pyloric stenosis. Each condition can result in the clinical syndrome of persistent nonbilious vomiting, which can progress to dehydration and electrolyte imbalances. This paper reviews the spectrum of both the common and uncommon entities that cause partial or complete gastric outlet obstruction and their imaging appearances. The correct diagnosis of those with gastric outlet obstruction can be achieved by combining clinical presentation with appropriate imaging, leading to optimal and timely patient management.
儿童胃出口梗阻包括一系列疾病,不仅限于肥厚性幽门狭窄。每种疾病都可能导致持续性非胆汁性呕吐的临床综合征,进而发展为脱水和电解质失衡。本文回顾了引起部分或完全胃出口梗阻的常见和不常见疾病实体及其影像学表现。通过将临床表现与适当的影像学相结合,可以正确诊断胃出口梗阻患者,从而实现最佳和及时的患者管理。