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. 1991 Jun;32(6):612–614. doi: 10.1136/gut.32.6.612

Value of ultrasound in differentiating causes of persistent vomiting in infants.

M D Rollins 1, M D Shields 1, R J Quinn 1, M A Wooldridge 1
PMCID: PMC1378873  PMID: 2060869

Abstract

A prospective study of abdominal ultrasound was undertaken in 100 consecutive infants who presented with a history of persistent vomiting aged 5 to 90 days. Each infant had a 'test feed' followed by an ultrasonographic scan of the pylorus at the cotside. On test feeding a palpable tumour was evident in 38 infants. On real time ultrasound using the criteria for diagnosing pyloric stenosis, these 38 infants as well as six others were documented as having pyloric stenosis. In the other 56 patients the vomiting settled in six and a barium examination was performed on the remaining 50. This confirmed gastro-oesophageal reflux in 46, two of whom had an associated hiatus hernia, one with a duodenal malrotation, and three were reported as normal. Ultrasound of the abdomen is an accurate, reliable, and rapid screening method to differentiate the causes of severe vomiting in infancy.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Blumhagen J. D., Coombs J. B. Ultrasound in the diagnosis of hypertrophic pyloric stenosis. J Clin Ultrasound. 1981 Jul-Aug;9(6):289–292. doi: 10.1002/jcu.1870090607. [DOI] [PubMed] [Google Scholar]
  2. Carré S. J. Clinical significance of gastro-oesophageal reflux. Arch Dis Child. 1984 Oct;59(10):911–912. doi: 10.1136/adc.59.10.911. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Carver R. A., Okorie M., Steiner G. M., Dickson J. A. Infantile hypertrophic pyloric stenosis--diagnosis from the pyloric muscle index. Clin Radiol. 1987 Nov;38(6):625–627. doi: 10.1016/s0009-9260(87)80342-2. [DOI] [PubMed] [Google Scholar]
  4. Grant G. A., McAleer J. A. Increasing incidence of infantile hypertrophic pyloric stenosis, 1971-1983. Ir Med J. 1986 May;79(5):118–119. [PubMed] [Google Scholar]
  5. Naik D. R., Bolia A., Moore D. J. Comparison of barium swallow and ultrasound in diagnosis of gastro-oesophageal reflux in children. Br Med J (Clin Res Ed) 1985 Jun 29;290(6486):1943–1945. doi: 10.1136/bmj.290.6486.1943. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Naik D. R., Moore D. J. Ultrasound diagnosis of gastro-oesophageal reflux. Arch Dis Child. 1984 Apr;59(4):366–367. doi: 10.1136/adc.59.4.366. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Rollins M. D., Shields M. D., Quinn R. J., Wooldridge M. A. Pyloric stenosis: congenital or acquired? Arch Dis Child. 1989 Jan;64(1):138–139. doi: 10.1136/adc.64.1.138. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Strauss S., Itzchak Y., Manor A., Heyman Z., Graif M. Sonography of hypertrophic pyloric stenosis. AJR Am J Roentgenol. 1981 Jun;136(6):1057–1058. doi: 10.2214/ajr.136.6.1057. [DOI] [PubMed] [Google Scholar]
  9. Stunden R. J., LeQuesne G. W., Little K. E. The improved ultrasound diagnosis of hypertrophic pyloric stenosis. Pediatr Radiol. 1986;16(3):200–205. doi: 10.1007/BF02456287. [DOI] [PubMed] [Google Scholar]
  10. Teele R. L., Smith E. H. Ultrasound in the diagnosis of idiopathic hypertrophic pyloric stenosis. N Engl J Med. 1977 May 19;296(20):1149–1150. doi: 10.1056/NEJM197705192962006. [DOI] [PubMed] [Google Scholar]

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