Duodenal atresia diagnostic study of choice: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{HQ}} | ||
{{Duodenal atresia}} | {{Duodenal atresia}} | ||
== Overview == | == Overview == | ||
Duodenal atresia does not have a diagnostic study of choice. | Duodenal atresia does not have a diagnostic study of choice. However, abdominal x-ray and ultrasound can confirm duodenal atresia. | ||
== Diagnostic Study of Choice == | == Diagnostic Study of Choice == | ||
=== Gold standard/Study of choice: === | === Gold standard/Study of choice: === | ||
*Duodenal atresia does not have a gold standard | *Duodenal atresia does not have a [[Gold standard (test)|gold standard]] study of choice. | ||
===== Diagnostic results ===== | ===== Diagnostic results ===== | ||
The following result of ultrasound is confirmatory of duodenal atresia: | The following result of [[ultrasound]] is confirmatory of duodenal atresia:<ref name="AdamsStanton2014">{{cite journal|last1=Adams|first1=Stephen D.|last2=Stanton|first2=Michael P.|title=Malrotation and intestinal atresias|journal=Early Human Development|volume=90|issue=12|year=2014|pages=921–925|issn=03783782|doi=10.1016/j.earlhumdev.2014.09.017}}</ref><ref name="MorrisKennedy2016">{{cite journal|last1=Morris|first1=Grant|last2=Kennedy|first2=Alfred|last3=Cochran|first3=William|title=Small Bowel Congenital Anomalies: a Review and Update|journal=Current Gastroenterology Reports|volume=18|issue=4|year=2016|issn=1522-8037|doi=10.1007/s11894-016-0490-4}}</ref> | ||
*Air fluid levels in the stomach | *Air fluid levels in the stomach. | ||
*Double bubble sign on [[X-rays|x-ray]] which shows absent [[gas]] in the [[small intestine]] and [[Abdominal distension|distended]] [[stomach]]. | |||
Sequence of Diagnostic Studies | ====Sequence of Diagnostic Studies==== | ||
An abdominal [[X-rays|x-ray]] should be performed when: | |||
*The patient presented with symptoms of persistent emesis, bilious vomiting, and/or abdominal distension. | * The patient presented with symptoms of persistent [[Nausea and vomiting|emesis]], [[Bile|bilious]] [[Nausea and vomiting|vomiting]], and/or [[Abdomen|abdominal]] [[distension]]. | ||
An abdominal [[ultrasound]] should be performed to: | |||
* Confirm duodenal atresia. | |||
==References== | ==References== | ||
{{Reflist|2}} | |||
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[[Category:Gastroenterology]] | |||
[[Category:Surgery]] | |||
[[Category:Disease]] | |||
[[Category:Pediatrics]] | |||
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Latest revision as of 19:30, 2 January 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
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Overview
Duodenal atresia does not have a diagnostic study of choice. However, abdominal x-ray and ultrasound can confirm duodenal atresia.
Diagnostic Study of Choice
Gold standard/Study of choice:
- Duodenal atresia does not have a gold standard study of choice.
Diagnostic results
The following result of ultrasound is confirmatory of duodenal atresia:[1][2]
- Air fluid levels in the stomach.
- Double bubble sign on x-ray which shows absent gas in the small intestine and distended stomach.
Sequence of Diagnostic Studies
An abdominal x-ray should be performed when:
- The patient presented with symptoms of persistent emesis, bilious vomiting, and/or abdominal distension.
An abdominal ultrasound should be performed to:
- Confirm duodenal atresia.
References
- ↑ Adams, Stephen D.; Stanton, Michael P. (2014). "Malrotation and intestinal atresias". Early Human Development. 90 (12): 921–925. doi:10.1016/j.earlhumdev.2014.09.017. ISSN 0378-3782.
- ↑ Morris, Grant; Kennedy, Alfred; Cochran, William (2016). "Small Bowel Congenital Anomalies: a Review and Update". Current Gastroenterology Reports. 18 (4). doi:10.1007/s11894-016-0490-4. ISSN 1522-8037.