سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Alamdaran, Seyed Ali, Firouznia, Parisa, Farshidianfar, Melika, Bavafa, Gelayol, Mahdavi Rashed, Masoud, Khajereza Shahri, vahid. (1401). The Diagnostic Value of Mesenteric Vessel Abnormalities on Ultrasound for Malrotation. , 10(12), 17119-17126. doi: 10.22038/ijp.2022.68766.5097
Seyed Ali Alamdaran; Parisa Firouznia; Melika Farshidianfar; Gelayol Bavafa; Masoud Mahdavi Rashed; vahid Khajereza Shahri. "The Diagnostic Value of Mesenteric Vessel Abnormalities on Ultrasound for Malrotation". , 10, 12, 1401, 17119-17126. doi: 10.22038/ijp.2022.68766.5097
Alamdaran, Seyed Ali, Firouznia, Parisa, Farshidianfar, Melika, Bavafa, Gelayol, Mahdavi Rashed, Masoud, Khajereza Shahri, vahid. (1401). 'The Diagnostic Value of Mesenteric Vessel Abnormalities on Ultrasound for Malrotation', , 10(12), pp. 17119-17126. doi: 10.22038/ijp.2022.68766.5097
Alamdaran, Seyed Ali, Firouznia, Parisa, Farshidianfar, Melika, Bavafa, Gelayol, Mahdavi Rashed, Masoud, Khajereza Shahri, vahid. The Diagnostic Value of Mesenteric Vessel Abnormalities on Ultrasound for Malrotation. , 1401; 10(12): 17119-17126. doi: 10.22038/ijp.2022.68766.5097

The Diagnostic Value of Mesenteric Vessel Abnormalities on Ultrasound for Malrotation

Journal of Pediatric Perspectives
مقاله 8، دوره 10، شماره 12، اسفند 2022، صفحه 17119-17126    اصل مقاله (345.48 K)
نوع مقاله: original article
شناسه دیجیتال (DOI): 10.22038/ijp.2022.68766.5097
نویسندگان
Seyed Ali Alamdaran1؛ Parisa Firouznia2؛ Melika Farshidianfar3؛ Gelayol Bavafa2؛ Masoud Mahdavi Rashed* 4؛ vahid Khajereza Shahri4
1Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3MD, Faculty of Medicine, Islamic Azad University – Mashhad Branch, Mashhad, Iran
4Radiology Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده
Background: Malrotation is an emergency, mainly in pediatric cases, and needs a timely and prompt diagnosis. Upper gastrointestinal (GI) contrast study used to be an acceptable modality in the diagnosis of malrotation; however, it has many disadvantages. In this regard, sonography has tried to take the place of upper GI studies. The aim of our study is to assess sonography and upper GI series as diagnostic methods for malrotation.
Methods: In a cross-sectional study, 154 pediatric cases suspected of malrotation were enrolled. The patients underwent upper GI series and sonography. In the case of sonography, two different findings, including inversion of the superior mesenteric vein (SMV) and superior mesenteric artery (SMA) and deviation (abnormal pathway) of the mesenteric artery were assessed. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of different sonography findings and upper GI study were calculated.
Result: Different sonography findings showed various diagnostic values. Inversion of SMV/SMA had a sensitivity of 58.87%, specificity of 36.17%, PPV of 67.74%, and NPV of 27.86%. Furthermore, the sensitivity, specificity, PPV, and NPV of deviation (abnormal pathway) of mesenteric vessels were 89.87%, 17.02%, 64.54%, and 50%, respectively. Taking into consideration the two findings together, sonography showed a sensitivity of 73.83% and PPV of 67.74%. Moreover, the sensitivity, specificity, PPV, and NPV of upper GI studies were 82.5%, 100%, 100%, and 50%, respectively.
Conclusion: Mesenteric vessel abnormalities may be valuable in detecting malrotation, but still upper GI contrast study is better. Development of other sonographic markers of malrotation, especially for different ages, is necessary.
کلیدواژه‌ها
Malrotation,,؛ ,،Ultrasound,,؛ ,،Mesenteric vessels abnormalities
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