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Editorial
. 2021 Apr;51(4):506-515.
doi: 10.1007/s00247-020-04913-9. Epub 2021 Jan 8.

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

HaiThuy N Nguyen  1   2 , Marla B K Sammer  3   4 , Matthew G Ditzler  3   4 , Lynn S Carlson  3   4 , Ray J Somcio  3   4 , Robert C Orth  5 , J Ruben Rodriguez  6   7 , Victor J Seghers  3   4
Affiliations
Editorial

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

HaiThuy N Nguyen et al. Pediatr Radiol. 2021 Apr.
No abstract available

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Conflict of interest statement

None

Figures

Fig. 1
Fig. 1
Malrotation and midgut volvulus algorithm at Texas Children’s Hospital starting in 2018. Of note, at the request of the General Surgery department, upper gastrointestinal series can still be performed in the presence of a positive US. AP anteroposterior, NPO nil per os, OR operating room, PEM pediatric emergency medicine, PRN pro re nata (when necessary), UGI upper gastrointestinal series
Fig. 2
Fig. 2
Standardized template for volvulus US in our voice-recognition software (we do not rely on US for diagnosing malrotation. However, it is included in our report template because identifying malrotation is integral to recognizing midgut volvulus. Per the institutional algorithm, upper gastrointestinal series is to follow US performed for bilious emesis, unless US is positive for midgut volvulus). D3 third portion of the duodenum, SMA superior mesenteric artery, SMV superior mesenteric vein
Fig. 3
Fig. 3
Relative frequencies of after-hours exams performed for midgut volvulus, stratified by facility. At all campuses, after-hours upper gastrointestinal (GI) series is becoming less frequent, whereas volvulus US has become more frequently performed. However, this is most pronounced at the community hospitals where call-back is required for upper GI after-hours. *2020 includes all exams from January 1 through July 31, 2020, normalized to full year. Please note, the potential impact of the coronavirus disease 2019 (COVID-19) pandemic on these volumes is uncertain. UGI upper gastrointestinal series, US ultrasound
See this image and copyright information in PMC

Comment in

References

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