SynthesisArchives of disease in childhood2021
Ultrasound for the diagnosis of malrotation and volvulus in children and adolescents: a systematic review and meta-analysis.
Synthesis in Archives of disease in childhood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 47 citations in OpenAlex.
- International practice patterns in the use of ultrasound as first-line imaging for suspected midgut volvulus in children: a joint society for pediatric radiology-European society of paediatric radiology survey.Pediatric radiology · 2026Article
- European society of paediatric radiology abdominal task force procedural recommendations for upper gastrointestinal contrast fluoroscopy studies in children.Pediatric radiology · 2026Review
- Review
- Unveiling midgut volvulus: the critical role of ultrasound.Przeglad gastroenterologiczny · 2026Article
- Infant malrotation with midgut volvulus: A retrospective review of clinical presentation and delays in care at a Canadian tertiary paediatric centre.Paediatrics & child health · 2025Article
- Midgut volvulus incidentally diagnosed during an outpatient ultrasound.Ultrasound (Leeds, England) · 2025Article
- Ultrasound for midgut volvulus and malrotation: frequency and predictors of a non-diagnostic examination in a multi-institutional cohort.Pediatric radiology · 2025Article
- Ultrasound for infantile midgut malrotation: Techniques, pearls, and pitfalls.Pediatric radiology · 2024Review
- Global survey on point-of-care ultrasound (pocus) use in child surgery.Pediatric surgery international · 2024Article
- Article
- [Developmental disorders of the gastrointestinal tract].Radiologie (Heidelberg, Germany) · 2024Article
- Diagnostic accuracy of upper gastrointestinal series in children with suspected intestinal malrotation.Updates in surgery · 2024Article
- 'Grumbling' Midgut Volvulus in an Older Paediatric Patient With Congenital Solitary Kidney: A Case Report.Cureus · 2023Article
- Audit of upper gastrointestinal tract series examinations for diagnosing intestinal malrotation in a resource-limited radiology department in Southern Africa.Surgery in practice and science · 2023Article
- Midgut volvulus in a pediatric patient with chronic constipation, congenital intestinal malrotation and internal transmesocolic hernia.BMJ case reports · 2023Article
- Predictive factors of bowel resection for midgut volvulus based on an analysis of bi-center experiences in southern Japan.Pediatric surgery international · 2023Article
- Re: 'Ultrasound for malrotation and volvulus - point' and 'Sonographic diagnosis of malrotation: it's complicated - counterpoint'.Pediatric radiology · 2022Article
- Ultrasound for malrotation and volvulus - point.Pediatric radiology · 2022Review
- Target sign of intussusception versus whirlpool sign of midgut volvulus.Radiology case reports · 2022Article
- Ultrasound as a first-line investigation to diagnose malrotation in children.Pediatric radiology · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
contextDespite the advantages of ultrasound (US), upper gastrointestinal contrast series (UGI) remains the first-line diagnostic modality in the diagnosis of midgut malrotation and volvulus in children.
objectiveEvaluate the diagnostic accuracy of US in the diagnosis of malrotation with or without volvulus in children and adolescents aged 0-21 years, compared with the reference standard (diagnosis by surgery, UGI, CT, MRI, and clinical follow-up individually or as a composite). DATA SOURCES: We searched the electronic databases Ovid-MEDLINE, Embase, Scopus, CINAHL, and the Cochrane library in October 2019 and updated on 18 August 2020. STUDY SELECTION: Studies evaluating the diagnostic performance of US for diagnosis of midgut malrotation with or without volvulus in children (0-21 years). DATA EXTRACTION AND SYNTHESIS: The data were extracted independently by two authors and a bivariate model was used for synthesis.
resultsMeta-analysis of 17 cohort or cross-sectional studies and 2257 participants estimated a summary sensitivity of 94% (95% CI 89% to 97%) and summary specificity of 100% (95% CI 97% to 100%) (moderate certainty evidence) for the use of US for the diagnosis of malrotation with or without midgut volvulus compared with the reference standard. Subgroup analysis and meta-regression revealed better diagnostic accuracy in malrotation not complicated by volvulus, in the neonatal population and enteric fluid administration before US.
conclusionsModerate certainty evidence suggests excellent diagnostic accuracy and coupled with the advantages, a strong case exists for the use of abdominal US as the first-line diagnostic test for suspected midgut malrotation with or without volvulus in children and adolescents.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.