define index of suspicion is necessary in these cases?

In reference to pregnancy, some women have GI disorders that are unique; meanwhile other pregnant patients have chronic GI disorders that require special consideration. Similarity occurs in infants and adolescents. For example, gastrointestinal duplications are rare congenital malformations that can vary greatly in size, location, presentation and symptoms (2). It is noteworthy that duplications of the alimentary tract are uncommon and may occur as solid or cystic tumors, intussusceptions, perforation, or gastrointestinal bleeding. A high index of suspicion is necessary in these cases. Understanding of the presentation and the prevalence of various disorders GI is necessary to optimize the care of these patients (1).References: Atlay RD, Weekes AR. The treatment of gastrointestinal disease in pregnancy. Clin Obstet Gynaecol. 1986 Jun. 13(2):335-47.
Yang mc, Duh YC, Lai HS, et. Alimentary tract duplications. J Formos Med Assoc. 1996 May. 95 (5):406-9.


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