By Alain Couture, C. Baud, F.L. Ferran, Magali Saguintaah, Corinne Veyrac, A.L. Baert, F. Avni, A. Couture, J.M. Faure, J.L. Ferran, A. Larroque, M. Saguintaah, C. Veyrac
Sonography of the gastrointestinal tract in fetuses, neonates and youngsters involves no recognized organic hazard, allows serial scanning and will offer info unobtainable with the other imaging modality. This publication presents a accomplished account of the present cutting-edge relating to sonography during this context. An introductory bankruptcy compares the advantages of sonography and magnetic resonance imaging of the fetal gastrointestinal tract. next chapters specialize in the strategy, pitfalls and findings in a large choice of functions, together with antropyloric illnesses bowel obstruction, bowel wall thickening, colitis, appendicitis, intussusception, a few stomach wall and umbilical abnormalities, intraperitoneal tumors, and trauma. In every one case the sonographic morphology is taken into account intensive via top of the range illustrations. A concluding bankruptcy contains a quiz according to 15 case reviews. "Gastrointestinal Tract Sonography in Fetuses and youngsters" can be of worth to all with an curiosity during this box.
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Extra info for Gastrointestinal Tract Sonography in Fetuses and Children (Medical Radiology Diagnostic Imaging)
The cause of occlusion may be bowel ischemia, acute intussusception, volvulus, meconium ileus, … Small Bowel Stenosis and Atresia A bowel stenosis should be discussed when MRI shows a normal-sized colon with high T1 signal, associated with proximal loops dilatation. However this aspect is not speciﬁc and may be observed with recent volvulus (Benachi et al. 2001). When proximal loops dilatation is associated with a nonvisualized proximal colon and microrectum of low T1 signal, atresia should be suspected.
2000), short bowel. The amniotic ﬂuid toxicity results in aseptic perivisceral inﬂammation of the exteriorized bowel, with ﬁbrous serosal thickening (De Lagausie et al. 2002), bowel shortening and peritoneal adhesions. At birth, the severity of inﬂammatory lesions may lead to difﬁcult reintegration and abdominal wall closure. Neonatal morbidity includes prolonged ileus, malabsorption, bowel motility disorders that will change the duration of parenteral nutrition, the beginning of oral feeding and the duration of hospitalization.
In conclusion, the fetal diagnosis of esophageal atresia has greatly improved: Fig. 20. A 30-week-fetus. Right para sagittal plane. Normal esophagus, 5 mm thick (arrow) between the trachea (1) and the upper part of descending aorta (2) (Dr. DevelayMorice) 27 Fetal Gastrointestinal Tract: US and MR a Fig. 21a,b. A 36-week-fetus. Small-sized stomach and polyhydramnios. Right parasagittal plane. a The carena (1) and aorta (2) were in contact (3) without interposed esophagus. There was a tracheo-esophageal ﬁ stula (4).
Gastrointestinal Tract Sonography in Fetuses and Children (Medical Radiology Diagnostic Imaging) by Alain Couture, C. Baud, F.L. Ferran, Magali Saguintaah, Corinne Veyrac, A.L. Baert, F. Avni, A. Couture, J.M. Faure, J.L. Ferran, A. Larroque, M. Saguintaah, C. Veyrac