Vol. 27 - Num. 108
Clinical Reviews in Digestive Diseases
Persistent bilious vomiting, alarms are going off!
Francisco García Iglesiasa, M.ª Cristina López Garcíab, Leopoldo Martínez Martínezc, Eduardo Alonso Gamarrad, Iván Carabaño Aguadoe
aServicio de Gastroenterología y Nutrición Infantil. Hospital Universitario La Paz. Madrid. España.
bServicio de Gastroenterología y Nutrición Infantil. Hospital Universitario La Paz. Madrid. España
cServicio de Cirugía Pediátrica. Hospital Universitario La Paz. Madrid. España.
dServicio de Radiología Infantil. Hospital Universitario La Paz. Madrid. España.
eServicio de Gastroenterología y Nutrición Infantil. Hospital Universitario La Paz. Madrid. España.
Correspondence: F García. E-mail: Francisco.Garcia.Iglesias@sergas.es
Reference of this article: García Iglesias F, López García MC, Martínez Martínez L, Alonso Gamarra E, Carabaño Aguado I. Persistent bilious vomiting, alarms are going off! . Rev Pediatr Aten Primaria. 2025;27:[en prensa].
Published in Internet: 18-11-2025 - Visits: 446
Abstract
Congenital bands are an uncommon cause of intestinal obstruction in children. The etiology is unknown. Most cases occur between the ages of 2 and 7, although it has also been described in adults. It occurs due to entrapment of a loop of intestine between the band and the mesentery, creating a sub-occlusive or obstructive condition that can sometimes be delayed, causing predominant symptoms such as abdominal pain and bilious vomiting, although constipation, abdominal distension, or refusal to eat or drink may also occur. Detection is challenging because it is not usually directly visible on imaging studies; therefore, the final diagnostic and therapeutic approach is typically surgical, using exploratory laparoscopy.
Keywords
● Band ● Bilious vomiting ● Intestinal obstruction ● Intestine