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Re: “Is ultrasonography a good screening test for intestinal malrotation?” by Orzech et al

2007; Elsevier BV; Volume: 42; Issue: 10 Linguagem: Inglês

10.1016/j.jpedsurg.2007.08.042

1531-5037

Christoph H. Houben, Melanie P. Hiorns,

Esophageal and GI Pathology

We read with interest the article on the value of ultrasonography as a screening test for intestinal malrotation by Orzech et al [ [1] Orzech N. Navarro O.M. Langer J.C. Is ultrasonography a good screening test for intestinal malrotation?. J Pediatr Surg. 2006; 41: 1005-1009 Abstract Full Text Full Text PDF PubMed Scopus (106) Google Scholar ]. We would like to seek clarification for the interpretation the of upper gastrointestinal series contrast study used. In the methods section, the authors state clearly that "[a] normal upper gastrointestinal series was defined by an orthotopic duodenojejunal junction otherwise the study was considered abnormal"; so, the basis for "normality" was the position of the DJ flexure, and we agree that this is the currently accepted gold standard test for the exclusion of malrotation [ [2] Applegate K.E. Anderson J.M. Klatte E.C. Intestinal malrotation in children: a problem solving approach to the upper gastrointestinal series. Radiographics. 2006; 26: 1485-1500 Crossref PubMed Scopus (160) Google Scholar ].