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World J Radiol. 2016 Jul 28;8(7):656-67. doi: 10.4329/wjr.v8.i7.656.

Abdominal ultrasonography of the pediatric gastrointestinal tract.

World journal of radiology

Heather I Gale, Michael S Gee, Sjirk J Westra, Katherine Nimkin

Affiliations

  1. Heather I Gale, Michael S Gee, Sjirk J Westra, Katherine Nimkin, Department of Radiology, Division of Pediatric Radiology, Massachusetts General Hospital, Boston, MA 02114, United States.

PMID: 27551336 PMCID: PMC4965350 DOI: 10.4329/wjr.v8.i7.656

Abstract

Ultrasound is an invaluable imaging modality in the evaluation of pediatric gastrointestinal pathology; it can provide real-time evaluation of the bowel without the need for sedation or intravenous contrast. Recent improvements in ultrasound technique can be utilized to improve detection of bowel pathology in children: Higher resolution probes, color Doppler, harmonic and panoramic imaging are excellent tools in this setting. Graded compression and cine clips provide dynamic information and oral and intravenous contrast agents aid in detection of bowel wall pathology. Ultrasound of the bowel in children is typically a targeted exam; common indications include evaluation for appendicitis, pyloric stenosis and intussusception. Bowel abnormalities that are detected prenatally can be evaluated after birth with ultrasound. Likewise, acquired conditions such as bowel hematoma, bowel infections and hernias can be detected with ultrasound. Rare bowel neoplasms, vascular disorders and foreign bodies may first be detected with sonography, as well. At some centers, comprehensive exams of the gastrointestinal tract are performed on children with inflammatory bowel disease and celiac disease to evaluate for disease activity or to confirm the diagnosis. The goal of this article is to review up-to-date imaging techniques, normal sonographic anatomy, and characteristic sonographic features of common and uncommon disorders affecting the gastrointestinal tract in children.

Keywords: Bowel; Enteritis; Gastrointestinal tract; Pediatric; Ultrasound

References

  1. Acad Radiol. 2013 Apr;20(4):453-6 - PubMed
  2. J Pediatr. 2014 Jul;165(1):78-84.e2 - PubMed
  3. J Ultrasound Med. 2000 Mar;19(3):211-6 - PubMed
  4. J Clin Ultrasound. 2006 Jun;34(5):237-40 - PubMed
  5. AJR Am J Roentgenol. 2007 Jan;188(1):275-9 - PubMed
  6. Abdom Imaging. 2013 Oct;38(5):1005-13 - PubMed
  7. Semin Ultrasound CT MR. 2002 Apr;23(2):197-200 - PubMed
  8. Perm J. 2012 Summer;16(3):25-7 - PubMed
  9. Ultraschall Med. 2011 Jan;32 Suppl 1:S53-61 - PubMed
  10. Pediatr Radiol. 1988;18(2):130-3 - PubMed
  11. Pediatr Radiol. 2015 Dec;45(13):1945-52 - PubMed
  12. Pediatr Radiol. 2006 Aug;36(8):890-1 - PubMed
  13. Pediatr Radiol. 2009 Oct;39(10 ):1075-9 - PubMed
  14. Gastroenterol Res Pract. 2013;2013:248625 - PubMed
  15. Eur J Pediatr. 2014 Jan;173(1):125 - PubMed
  16. J Ultrasound Med. 2006 Sep;25(9):1223-6 - PubMed
  17. Radiology. 1996 Nov;201(2):385-8 - PubMed
  18. Br J Radiol. 1997 Sep;70(837):891-6 - PubMed
  19. N Engl J Med. 1977 May 19;296(20):1149-50 - PubMed
  20. Pediatr Radiol. 2007 Mar;37(3):274-82 - PubMed
  21. J Pediatr (Rio J). 2013 Nov-Dec;89(6):554-8 - PubMed
  22. Eur Radiol. 2015 Aug;25(8):2231-8 - PubMed
  23. Radiol Clin North Am. 2011 Jul;49(4):665-77, v-vi - PubMed
  24. Pediatr Radiol. 2010 Sep;40(9):1476-84 - PubMed
  25. Pediatr Gastroenterol Hepatol Nutr. 2013 Dec;16(4):269-72 - PubMed
  26. Pediatr Rev. 2014 Feb;35(2):e11-4 - PubMed
  27. Pediatr Radiol. 2009 Mar;39(3):299-301 - PubMed
  28. Ultrasound Obstet Gynecol. 2006 Sep;28(3):341-4 - PubMed
  29. Pediatr Radiol. 2010 Apr;40(4):528-36 - PubMed
  30. AJR Am J Roentgenol. 2005 Feb;184(2):521-5 - PubMed
  31. Ann Allergy Asthma Immunol. 2002 Dec;89(6 Suppl 1):65-8 - PubMed
  32. Surg Today. 2008;38(11):1052-5 - PubMed
  33. Pediatr Surg Int. 2014 Dec;30(12 ):1231-40 - PubMed
  34. J Clin Ultrasound. 2014 Sep;42(7):385-94 - PubMed
  35. BMC Pediatr. 2014 Feb 26;14:55 - PubMed
  36. Pol J Radiol. 2014 Aug 04;79:243-50 - PubMed
  37. J Pediatr Surg. 2008 Jun;43(6):998-1001 - PubMed
  38. Pediatr Emerg Care. 2010 Mar;26(3):212-4 - PubMed
  39. Eur J Radiol. 2007 Apr;62(1):114-21 - PubMed
  40. J Clin Ultrasound. 1990 Jul-Aug;18(6):477-85 - PubMed
  41. J Ultrasound Med. 2012 May;31(5):793-7 - PubMed
  42. Gastroenterol Res Pract. 2013;2013:896704 - PubMed
  43. J Ultrasound Med. 2014 Dec;33(12 ):2115-23 - PubMed
  44. J Pediatr. 2013 Sep;163(3):778-84.e1 - PubMed
  45. J Pediatr Surg. 2002 Jun;37(6):865-8 - PubMed
  46. JAMA. 2015 Jun 16;313(23):2340-8 - PubMed
  47. J Ultrasound Med. 2002 Nov;21(11):1315-8 - PubMed
  48. Pediatr Radiol. 1998 Sep;28(9):711-3 - PubMed
  49. Pediatr Radiol. 2012 Feb;42(2):196-200 - PubMed
  50. Pediatr Radiol. 2003 May;33(5):316-20 - PubMed
  51. Semin Roentgenol. 2012 Apr;47(2):159-70 - PubMed
  52. Am J Gastroenterol. 2009 Apr;104(4):1003-12 - PubMed
  53. J Pediatr Surg. 2015 Jun;50(6):923-7 - PubMed
  54. Radiographics. 2015 May-Jun;35(3):835-48 - PubMed
  55. J Clin Ultrasound. 2003 Mar-Apr;31(3):156-8 - PubMed
  56. Pediatr Radiol. 2015 Dec;45(13):1934-44 - PubMed
  57. Med Sci Monit. 2000 Jan-Feb;6(1):96-9 - PubMed
  58. Ultrasonography. 2015 Jul;34(3):211-6 - PubMed
  59. J Ultrasound Med. 2006 Aug;25(8):1095-8 - PubMed
  60. Can J Gastroenterol. 2006 Jan;20(1):39-42 - PubMed
  61. J Ultrasound Med. 2000 Jun;19(6):371-6 - PubMed
  62. Ultrasound Q. 2014 Jun;30(2):101-17 - PubMed
  63. Pediatr Radiol. 1998 Jun;28(6):429-34 - PubMed
  64. Pediatr Radiol. 2013 Nov;43(11):1444-52 - PubMed
  65. Clin Imaging. 2013 Nov-Dec;37(6):1043-7 - PubMed
  66. Radiology. 2013 Oct;269(1):266-71 - PubMed
  67. Am J Gastroenterol. 1998 Dec;93(12 ):2547-50 - PubMed
  68. Radiographics. 2007 Mar-Apr;27(2):285-305 - PubMed
  69. Radiology. 1996 Feb;198(2):547-51 - PubMed
  70. Radiographics. 2010 Oct;30(6):1489-507 - PubMed
  71. J Pediatr Surg. 1998 Dec;33(12 ):1784-7 - PubMed
  72. J Clin Ultrasound. 2014 Nov-Dec;42(9):550-3 - PubMed
  73. J Pediatr Surg. 2014 Apr;49(4):508-13 - PubMed
  74. JAMA Pediatr. 2015 Aug;169(8):755-60 - PubMed
  75. World J Radiol. 2014 Jun 28;6(6):313-28 - PubMed
  76. World J Gastroenterol. 2015 May 7;21(17 ):5231-41 - PubMed
  77. Clin Imaging. 2014 Mar-Apr;38(2):170-3 - PubMed
  78. Turk J Gastroenterol. 2015 Mar;26(2):128-32 - PubMed
  79. AJR Am J Roentgenol. 2001 Jul;177(1):65-9 - PubMed
  80. Pediatr Radiol. 2015 Sep;45(10 ):1557-66; quiz 1554-6 - PubMed
  81. Am J Case Rep. 2015 Aug 27;16:574-6 - PubMed
  82. Int J Clin Exp Pathol. 2011 Jun 20;4(5):430-43 - PubMed
  83. AJR Am J Roentgenol. 2009 Sep;193(3):700-8 - PubMed
  84. Pediatr Emerg Care. 2013 Jul;29(7):870-3 - PubMed
  85. J Ultrasound Med. 2004 Jun;23 (6):843-8 - PubMed
  86. Br J Radiol. 2007 Oct;80(958):798-802 - PubMed
  87. Pediatr Radiol. 2012 May;42(5):515-24 - PubMed
  88. World J Pediatr. 2014 Aug;10(3):238-44 - PubMed
  89. J Pediatr Surg. 2004 Sep;39(9):1396-9 - PubMed
  90. J Pediatr Surg. 2009 Feb;44(2):381-5 - PubMed
  91. Pediatr Radiol. 1995;25(4):310-1 - PubMed
  92. J Pediatr Surg. 2014 Jul;49(7):1116-21 - PubMed
  93. Crit Ultrasound J. 2013 Jul 15;5 Suppl 1:S12 - PubMed
  94. Indian J Surg. 2013 Jun;75(Suppl 1):322-5 - PubMed
  95. Pediatr Radiol. 2014 Feb;44(2):202-11 - PubMed
  96. AJR Am J Roentgenol. 2014 May;202(5):946-59 - PubMed
  97. Radiol Med. 2012 Jun;117(4):558-74 - PubMed
  98. J Ultrasound Med. 2001 Mar;20(3):269-74 - PubMed
  99. Eur J Radiol. 2014 Sep;83(9):1592-600 - PubMed

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