ACR Appropriateness Criteria® Vomiting in Infants

Vomiting in infants under the age of 3 months is one of the most common reasons for parents to seek care from their doctor or present to an emergency room. The imaging workup that ensues is dependent on several factors: age at onset, days versus weeks after birth, quality of emesis, bilious or nonbi...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of the American College of Radiology Jg. 17; H. 11S; S. S505
Hauptverfasser: Alazraki, Adina L, Rigsby, Cynthia K, Iyer, Ramesh S, Bardo, Dianna M E, Brown, Brandon P, Chan, Sherwin S, Chandra, Tushar, Dietrich, Ann, Falcone, Jr, Richard A, Garber, Matthew D, Gill, Anne E, Levin, Terry L, Moore, Michael M, Nguyen, Jie C, Shet, Narendra S, Squires, Judy H, Trout, Andrew T, Karmazyn, Boaz
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.11.2020
Schlagworte:
Gastroesophageal reflux
Intestinal atresia
Malrotation
Vomiting
Pyloric stenosis
Appropriate Use Criteria
Midgut Volvulus
Appropriateness Criteria
AUC
ISSN:1558-349X, 1558-349X
Online-Zugang:Weitere Angaben
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Vomiting in infants under the age of 3 months is one of the most common reasons for parents to seek care from their doctor or present to an emergency room. The imaging workup that ensues is dependent on several factors: age at onset, days versus weeks after birth, quality of emesis, bilious or nonbilious vomiting, and the initial findings on plain radiograph, suspected proximal versus distal bowel obstruction. The purpose of these guidelines is to inform the clinician, based on current evidence, what is the next highest yield and most appropriate imaging study to pursue a diagnosis. The goal is rapid and accurate arrival at a plan for treatment, whether surgical or nonsurgical. The following modalities are discussed for each variant of the symptom: plain radiography, fluoroscopic upper gastrointestinal series, fluoroscopic contrast enema, ultrasound of the abdomen, nuclear medicine gastroesophageal reflux scan. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Instructional Material/Guideline-2
ObjectType-Feature-3
content type line 23
ISSN:1558-349X
1558-349X
DOI:10.1016/j.jacr.2020.09.002