{"id":105,"date":"2010-05-29T22:28:19","date_gmt":"2010-05-29T21:28:19","guid":{"rendered":"https:\/\/blogs.bmj.com\/adc-archimedes\/?p=105"},"modified":"2010-05-29T22:28:19","modified_gmt":"2010-05-29T21:28:19","slug":"q-can-a-quick-ultrasound-save-an-ugi-contrast-series","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/adc\/2010\/05\/29\/q-can-a-quick-ultrasound-save-an-ugi-contrast-series\/","title":{"rendered":"Q: Can a quick ultrasound save an UGI contrast series?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" title=\"UGI Contrast\" src=\"http:\/\/www.adhb.govt.nz\/newborn\/teachingresources\/radiology\/AXR\/Malrotation\/MalrotationContrast.jpg\" alt=\"\" width=\"74\" height=\"93\" \/>A bit of greenish vomiting, not feeding so well and some concern that the newborn in front of you has volvulus. So do you really need to go through the hassle and pain of organising a contrast upper GI series, especially as the parents are already worried about getting feeding established, or could normally placed vessels on an abdominal USS help you out?<!--more-->I think this is a classic Bayesian dilemma &#8230; even if the USS occasionally misses ones because of bowel gas, wiggly babies or the wrong kind of cloud formation on the screen &#8230; if you were only mildly suspicious in the first place does a non-positive USS do enough of a ruling out?<\/p>\n<p>Any thoughts?<\/p>\n<p>Acknowledgements: Photo from NZ teaching site<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A bit of greenish vomiting, not feeding so well and some concern that the newborn in front of you has volvulus. So do you really need to go through the hassle and pain of organising a contrast upper GI series, especially as the parents are already worried about getting feeding established, or could normally placed [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/adc\/2010\/05\/29\/q-can-a-quick-ultrasound-save-an-ugi-contrast-series\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[83,159,146],"tags":[],"class_list":["post-105","post","type-post","status-publish","format-standard","hentry","category-nicu","category-radiology","category-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Q: Can a quick ultrasound save an UGI contrast series? - ADC Online Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/adc\/2010\/05\/29\/q-can-a-quick-ultrasound-save-an-ugi-contrast-series\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Q: Can a quick ultrasound save an UGI contrast series? - ADC Online Blog\" \/>\n<meta property=\"og:description\" content=\"A bit of greenish vomiting, not feeding so well and some concern that the newborn in front of you has volvulus. 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