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American Journal of Roentgenology, Vol 173, 979-983, Copyright © 1999 by American Roentgen Ray Society

ARTICLES

Manual epigastric compression during upper gastrointestinal examination of neonates: value in diagnosis of intestinal malrotation and volvulus

JE Lim-Dunham, T Ben-Ami and DK Yousefzadeh
Department of Radiology, The University of Chicago, The University of Chicago Children's Hospital, IL 60637, USA.

OBJECTIVE: This paper describes the value of manual epigastric compression during upper gastrointestinal examination in establishing the diagnosis of intestinal malrotation and volvulus in five neonates. CONCLUSION: In two patients, the location of the duodenojejunal junction was near normal. Manual compression revealed abnormal mobility of the duodenojejunal junction, indicating malrotation. In three other patients, the duodenum was completely obstructed. Manual compression unequivocally displayed the anatomy of midgut volvulus by allowing contrast material to pass beyond the point of obstruction.
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K. E. Applegate, J. M. Anderson, and E. C. Klatte
Intestinal Malrotation in Children: A Problem-solving Approach to the Upper Gastrointestinal Series
RadioGraphics, September 1, 2006; 26(5): 1485 - 1500.
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