What examination should infantile bowel rotate badly to do?

summary

Malrotation of small intestine in children refers to the disorder of rotation movement of the embryonic intestine and superior mesenteric artery, which leads to the variation of the position of the intestine and the incomplete attachment of the mesentery, which is easy to cause intestinal obstruction. It is an abnormal rotation and fixation of the small intestine, an anatomical abnormality caused by the disturbance of the intrauterine small intestine development process, and can be life-threatening. What examination should infantile bowel rotate badly to do? Let's talk about it

What examination should infantile bowel rotate badly to do?

Although barium enema is one of the methods to diagnose intestinal malrotation, it has more limitations than gastrointestinal radiography. The main reason is that 15% of normal infants have a higher position of ileocecal part; However, the colon of infants is relatively long, which makes it difficult to recognize and take pictures of ileocecal region; More importantly, the ileocecal position may be normal in patients with malrotation.

Abdominal plain film: every newborn with biliary vomiting should receive imaging examination immediately, usually in anteroposterior upright position and lateral decubitus position. The imaging findings of midgut volvulus were as follows: obstruction of gastric outlet, dilated gastric vesicle and reduction of distal gas; Typical double bubble sign indicates duodenal obstruction.

Upper gastrointestinal radiography: the most typical manifestation of volvulus was "beak like" changes in the second and third segments of duodenum; Partial duodenal obstruction may present "spiral" changes. It should be pointed out that this examination should not be performed when acute volvulus is suspected. The dilated segment full of liquid, which is not shown in abdominal plain film, can also make the duodenojejunojejunal junction move down, resulting in the false appearance of malrotation. At this time, contrast agent can be injected through the anus to determine the location of ileocecal part.

matters needing attention

Pregnant women should avoid harmful factors as far as possible, including smoke, alcohol, drugs, radiation, pesticides, noise, volatile harmful gases, toxic and harmful heavy metals, etc. Strengthen the physique, improve their own immunity: pay attention to the combination of work and rest, take more physical exercise, eat more fresh fruits and vegetables rich in vitamins.