ACR Appropriateness Criteria® Vomiting in Infants.

Autor:	Alazraki AL; Children's Healthcare of Atlanta and Emory University, Atlanta, Georgia. Electronic address: adina.alazraki@choa.org., Rigsby CK; Panel Chair, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois., Iyer RS; Panel Vice-Chair, Seattle Children's Hospital, Seattle, Washington., Bardo DME; Phoenix Children's Hospital, Phoenix, Arizona., Brown BP; Riley Hospital for Children Indiana University, Indianapolis, Indiana., Chan SS; Children's Mercy Hospital, Kansas City, Missouri., Chandra T; Nemours Children's Hospital, Orlando, Florida., Dietrich A; Nationwide Children's Hospital, Columbus, Ohio; American College of Emergency Physicians., Falcone RA Jr; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; American Pediatric Surgical Association., Garber MD; University of Florida College of Medicine Jacksonville, Jacksonville, Florida; American Academy of Pediatrics., Gill AE; Children's Healthcare of Atlanta and Emory University, Atlanta, Georgia., Levin TL; The Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York., Moore MM; Penn State Health Children's Hospital, Hershey, Pennsylvania., Nguyen JC; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Shet NS; Children's National Health System, Washington, District of Columbia., Squires JH; UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania., Trout AT; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Karmazyn B; Specialty Chair, Riley Hospital for Children Indiana University, Indianapolis, Indiana.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2020 Nov; Vol. 17 (11S), pp. S505-S515.
DOI:	10.1016/j.jacr.2020.09.002
Abstrakt:	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. (Copyright © 2020 American College of Radiology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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