Intestinal motility disorders of infants and children: classification, clinical manifestations and roentgenology

E A Franken1, W L Smith, E E Frey

  • 1Department of Radiology, University of Iowa College of Medicine, Iowa City.

Critical Reviews in Diagnostic Imaging
|January 1, 1987
PubMed

Insights

Pediatric intestinal motility disorders encompass acute, perinatal, and chronic conditions, including paralytic ileus and Hirschsprung

Area of Science:

  • Pediatric Gastroenterology
  • Intestinal Motility Disorders
  • Diagnostic Imaging

Background:

  • Intestinal motility disorders present unique challenges in pediatric patients.
  • These conditions range from acute paralytic ileus to chronic functional obstructions.
  • Understanding pathophysiology and clinical manifestations is crucial for diagnosis.

Purpose of the Study:

  • To review the pathophysiology, clinical manifestations, and imaging investigations of pediatric intestinal motility diseases.
  • To categorize and describe various acute, perinatal, and chronic motility disorders.
  • To highlight diagnostic approaches for these complex conditions.

Main Methods:

  • Comprehensive literature review of pediatric intestinal motility disorders.
  • Analysis of pathophysiology, clinical presentations, and imaging findings.
  • Categorization of diseases based on onset (acute, perinatal, chronic) and etiology.

Main Results:

  • Acute conditions include paralytic ileus and regional bowel paralysis.
  • Perinatal disorders involve functional intestinal obstruction.
  • Chronic disorders are classified as primary bowel abnormalities or secondary to systemic diseases, including Hirschsprung's disease and pseudo-obstruction.

Conclusions:

  • Accurate diagnosis of pediatric intestinal motility disorders relies on understanding their diverse pathophysiology and clinical features.
  • Appropriate imaging investigations are essential for identifying and characterizing these conditions.
  • This review provides a framework for managing pediatric patients with intestinal motility dysfunction.

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