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Pediatric Radiology
Published in: Pediatric Radiology 4/2021

01-04-2021 | Commentary

Transition to ultrasound as the first-line imaging modality for midgut volvulus: keys to a successful roll-out

Authors: HaiThuy N. Nguyen, Marla B. K. Sammer, Matthew G. Ditzler, Lynn S. Carlson, Ray J. Somcio, Robert C. Orth, J. Ruben Rodriguez, Victor J. Seghers

Published in: Pediatric Radiology | Issue 4/2021

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Excerpt

In children, midgut volvulus has a reported bowel necrosis frequency of 9.3–17.6% and mortality of 5.6–15.3% [1‐3]. The imaging exam typically used to diagnose midgut volvulus is a fluoroscopic upper gastrointestinal (GI) series. This study requires the physical presence of a radiologist [4], and for studies performed at remote locations or after-hours (e.g., evenings, weekends), either a radiologist needs to be called in from home or the child transferred to a hospital where the procedure is available. This process can lead to a delay in diagnosis and, most important, it can delay emergent surgical treatment and negatively impact patient outcomes. …
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Metadata
Title
Transition to ultrasound as the first-line imaging modality for midgut volvulus: keys to a successful roll-out
Authors
HaiThuy N. Nguyen
Marla B. K. Sammer
Matthew G. Ditzler
Lynn S. Carlson
Ray J. Somcio
Robert C. Orth
J. Ruben Rodriguez
Victor J. Seghers
Publication date
01-04-2021
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 4/2021
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-020-04913-9

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