What is the role of an upper GI series in the evaluation of necrotizing enterocolitis (NEC)?

Updated: Dec 27, 2017
  • Author: Shelley C Springer, JD, MD, MSc, MBA, FAAP; Chief Editor: Muhammad Aslam, MD  more...
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Answer

Upper gastrointestinal (GI) with or without small bowel follow-through is performed acutely only when a diagnosis other than necrotizing enterocolitis (NEC), such as bowel obstruction, is being considered because of bilious vomiting, abdominal distention, or other symptoms. This procedure is commonly performed in infants with resolved NEC who develop a picture of GI obstruction, usually due to a stricture or fibrous band. Perform this before contrast enema because the presence of contrast in the colon can obscure pertinent findings.


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