Kovanlikaya A, Miller J H, Williams H T
Division of Nuclear Radiology, Children's Hospital of Los Angeles, University of Southern California, 4650 Sunset Blvd., Los Angeles, CA 90027, USA.
Pediatr Radiol. 1996;26(8):531-3. doi: 10.1007/BF01372235.
In infants with recurrent vomiting, and especially bilious vomiting, the algorithmic approach is to perform conventional barium upper gastrointestinal radiography to rule out malrotation and midgut volvulus, which are surgical emergencies. However, children with protracted vomiting and failure to thrive are candidates for medical treatment. These children are often evaluated by radionuclide gastric emptying studies to assess gastric emptying. Three patients are presented in whom the radionuclide gastric emptying study revealed the presence of a malrotation anomaly which had been undetected by antecedent barium gastrointestinal radiographic studies.
对于反复呕吐尤其是胆汁性呕吐的婴儿，按诊疗流程应进行常规钡剂上消化道造影，以排除旋转不良和中肠扭转，这两种情况属于外科急症。然而，对于持续性呕吐且生长发育不良的儿童，则适合进行内科治疗。这些儿童通常会接受放射性核素胃排空研究以评估胃排空情况。本文介绍了3例患者，其放射性核素胃排空研究显示存在旋转不良异常，而之前的钡剂胃肠道造影检查未发现该异常。
