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[Radiologic diagnosis of congenital anomalies of the digestive tract]
L Lincender1, M Sakić, D Vrcić
1Institut za radiologiju, Klinicki centar Univerziteta u Sarajevu.
Insights
Congenital digestive tract anomalies were diagnosed in 25 of 67 infants. Hypertrophic pyloric stenosis was most common, followed by invagination and megacolon congenitum. Conventional radiology remains crucial for diagnosis.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Congenital anomalies of the digestive tract require accurate and timely diagnosis in infants.
- Various imaging modalities are employed to detect these anomalies, each with specific strengths.
Purpose of the Study:
- To analyze the frequency of congenital digestive tract anomalies in infants.
- To evaluate the diagnostic utility of different imaging techniques for these anomalies.
Main Methods:
- Retrospective analysis of 67 infants (age 1-12 months) with suspected digestive tract anomalies.
- Utilized conventional radiology, ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MR).
- Surgical confirmation of all radiological findings.
Main Results:
- 25 out of 67 patients (37.3%) were diagnosed with congenital digestive tract anomalies.
- Most frequent anomalies included hypertrophic pyloric stenosis (n=14), intestinal invagination (n=12), and megacolon congenitum (n=9).
- All radiological diagnoses were confirmed surgically (100% accuracy).
Conclusions:
- Conventional radiology is highly effective for diagnosing common digestive tract anomalies.
- Ultrasound is essential for diagnosing hypertrophic pyloric stenosis and intestinal invagination.
- Advanced imaging like CT and MR are valuable for complex or associated anomalies, particularly anorectal malformations.
Unlabelled:
The aim of the study is to analyze the frequency of the congenital anomalies of the digestive tract in the period of 1993-1998. The patients and methods: Our group included 67 patients (47 males and 20 females; age range 1-12 months) suspected of digestive tract anomalies. First, all of them have been examined by pediatric surgeon. At the first place, we used the most conventional radiological procedures for digestive tract examination. They were followed by US in cases with suspicion on hypertrophic pyloric stenosis and biliary atresia (bile-duct atresia). CT and MR were performed in patients with anorectal anomalies. In cases with suspected associated anomalies of other organs, intravenous urography and chest radiography were used.
Results:
Congenital anomalies and abnormalities of the digestive tract were diagnosed in 25 patients. The most frequent anomaly was hypertrophic pyloric stenosis (n = 14), followed by invagination (n = 12) and megacolon congenitum (n = 9), all predominant in male sex. All radiological findings we confirmed at surgery (100%).
Conclusion:
Conventional radiology is still extremely useful in the diagnosis of the digestive tract anomalies; also US revealed to be essential in the diagnosis of the hypertrophic pyloric stenosis and the intestinal invagination. Recognition of the associated anomalies should lead to application of the other examination techniques like CT and MR. MR might be useful in the anorectal malformations and hepatobiliary tract anomalies, but we have no experience in that field, till now.
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