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Bilious vomiting is a common symptom in the newborn and can indicate pathology.  In particular, there are concerns that there could be malrotation / volvulus which can present with no other symptoms. A surgical diagnosis occurs in about 25% of term babies with bilious vomiting but only about 8% have malrotation. Many babies are transferred for urgent contrast studies to exclude the possibility of malrotation.

This framework aims to set some minimum (and optimal) standards for radiological support for neonatal units and define a framework for the management of babies with bile-stained vomiting. 

This resource also includes an information leaflet for parents. This can also be downloaded as a separate document below.