{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:21:42Z","timestamp":1783052502569,"version":"3.54.6"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,4,24]],"date-time":"2015-04-24T00:00:00Z","timestamp":1429833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The accuracy of prenatal ultrasound examination in detecting jejunal and ileal atresia has been reported in the literature to be highly variable, at 25\u201390%. The aim of this systematic review was to evaluate the accuracy of prenatal ultrasound in detecting non\u2010duodenal small bowel atresia (<jats:styled-content style=\"fixed-case\">ND\u2010SBA<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">EMBASE<\/jats:styled-content> and The Cochrane Library, including The Cochrane Database of Systematic Reviews (<jats:styled-content style=\"fixed-case\">CDSR<\/jats:styled-content>), Database of Abstracts of Reviews of Effects (<jats:styled-content style=\"fixed-case\">DARE<\/jats:styled-content>) and The Cochrane Central Register of Controlled Trials (<jats:styled-content style=\"fixed-case\">CENTRAL<\/jats:styled-content>), were searched electronically. The overall detection rate of jejunal or ileal atresia using ultrasound was reported. The accuracy of using polyhydramnios and dilated loops of bowel as diagnostic signs was also explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixteen studies involving 640 fetuses were included in this review. The detection rate of <jats:styled-content style=\"fixed-case\">ND\u2010SBA<\/jats:styled-content> by prenatal ultrasound was highly variable, with values ranging from 10 to 100%, with an overall prediction of 50.6% (95%\u2009<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 38.0\u201363.2%). When analyzed separately, the detection rates of jejunal and ileal atresia were 66.3%, (95%\u2009<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 33.9\u201391.8%) and 25.9% (95%\u2009<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 4.0\u201358.0%), respectively. Both dilated loops of bowel and polyhydramnios as diagnostic signs for <jats:styled-content style=\"fixed-case\">ND\u2010SBA<\/jats:styled-content> provided a low overall detection rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The diagnostic performance of prenatal ultrasound in identifying <jats:styled-content style=\"fixed-case\">ND\u2010SBA<\/jats:styled-content> is extremely variable. Large studies are needed in order to identify objective and combined criteria for the diagnosis of these anomalies. Copyright \u00a9 2014 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.14651","type":"journal-article","created":{"date-parts":[[2014,9,16]],"date-time":"2014-09-16T06:52:13Z","timestamp":1410850333000},"page":"523-529","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Accuracy of prenatal ultrasound in detecting jejunal and ileal atresia: systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"45","author":[{"given":"C.","family":"Virgone","sequence":"first","affiliation":[{"name":"Department of Paediatric and Neonatal Surgery St. George's Healthcare NHS Trust and University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"D'Antonio","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit, Division of Developmental Sciences St George's University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Khalil","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit, Division of Developmental Sciences St George's University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Jonh","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Neonatal Surgery St. George's Healthcare NHS Trust and University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Manzoli","sequence":"additional","affiliation":[{"name":"Department of Medicine and Aging Sciences University of Chieti\u2010Pescara  Chieti Italy"},{"name":"EMISAC CeSI Biotech  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Giuliani","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Neonatal Surgery St. George's Healthcare NHS Trust and University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4,24]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1886"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/tera.1420480508"},{"key":"e_1_2_5_4_1","unstructured":"Pediatric Gastrointestinal Disease. 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