title: Early diagnostic clues in neonatal chronic gastric volvulus.
abstract: OBJECTIVE
  Neonatal gastric volvulus (GV) is a rare clinical entity with a challenging diagnosis. In this study, we aimed to identify clinical and radiological findings to aid in early diagnosis in neonatal GV.
  
  
  METHODS
  The medical records of all neonates with GV were retrospectively reviewed. Diagnosis was made based on clinical findings and radiological images, and was documented by an upper gastrointestinal (UGI) contrast study.
  
  
  RESULTS
  A total of eight neonates were included in the study. The most common clinical presentations were non-bilious vomiting and epigastric distention. The findings highly suggestive for GV in plain radiographs include gastric double bubble, abnormal gastric distention despite a nasogastric tube, distended stomach lying in a horizontal plane and an air-fluid level in the epigastrium.
  
  
  CONCLUSIONS
  GV should be suspected in any newborn with non-bilious vomiting and epigastric distention. It is also important to focus on the clues in the plain radiographs. Gastric double bubble, abnormal gastric distention despite a nasogastric tube, distended stomach lying in a horizontal plane and an air-fluid level in the epigastrium must alert the physicians to the possibility of GV.
authors: Department of Pediatric Surgery, Süleyman Demirel University School of Medicine, 32260 Isparta, Turkey. leduman@gmail.com
authors: Levent
authors: L
authors: Duman
authors: Mustafa Cagri
authors: MC
authors: Savas
authors: Behcet Ilker
authors: BI
authors: Büyükyavuz
authors: Mustafa
authors: M
authors: Akcam
authors: Gonca
authors: G
authors: Sandal
authors: Aykut Recep
authors: AR
authors: Aktas
mesh_terms: D002908:Chronic Disease; D003937:Diagnosis, Differential; D042241:Early Diagnosis; D005260:Female; D013271:Gastric Dilatation / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008297:Male; D008499:Medical Records; D011237:Predictive Value of Tests; D011860:Radiography, Abdominal / Q000379:methods; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D013277:Stomach Volvulus / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome; D041742:Upper Gastrointestinal Tract / Q000000981:diagnostic imaging; D014839:Vomiting / Q000209:etiology
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