Intussusception in children: reduction with repeated, delayed air enema.

Gorenstein, Arkadi; Raucher, A; Serour, Francis; Witzling, Michaela; Katz, Ryan

doi:10.1148/radiology.206.3.9494491

Cited by 75 publications

(38 citation statements)

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“…We consider this appropriate because studies have shown that although the probability of reduction falls with longstanding intussusception, a successful reduction is still possible [23][24][25][26][27]. Research has also shown that although likelihood of success with free or trapped fluid is relatively low, success is still possible [28,29], and the vast majority (86%) of our respondents said they attempt reduction despite the presence of free fluid.…”

Section: Discussionmentioning

confidence: 94%

Current methods for reducing intussusception: survey results

et al. 2014

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Section: Discussionmentioning

confidence: 94%

Current methods for reducing intussusception: survey results

et al. 2014

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“…Although it might also produce perforation, the negative effect would have been milder. 7,8 The second patient was discharged on the 6 th day of hospitalization after surgical reposition was performed.…”

Section: Discussionmentioning

confidence: 99%

Nonspecific symptoms of intussusception

Wahyudin¹,

Abbas²,

Budi³

et al. 2016

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“…Non-surgical reduction of intussusception is generally made under fluoroscopic guidance [27][28][29][30], even if USguided reduction may represent in the future a valid alternative to fluoroscopy as a less invasive guide in nonsurgical reduction of intussusception, avoiding exposition to ionizing radiations of little patients. The best studies about the use of US guide in intussusception reduction come from Asia, but nowadays also Europe is considering this technique.…”

Section: Discussionmentioning

confidence: 99%

Intussusception in childhood: role of sonography on diagnosis and treatment

Bartocci¹,

Fabrizi²,

Valente³

et al. 2014

J Ultrasound

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Objective The aim of this study was to determine the role of ultrasound in the diagnosis and treatment of pediatric patients with acute abdominal pain caused by intussusceptions. Materials and methods We performed a retrospective study of all pediatric patients with acute abdominal pain caused by intussusceptions and that underwent ultrasound examination at the emergency service of the Radiology Department between November 2007 and June 2013. The role of ultrasonography in the diagnosis of intussusceptions has been assessed by comparing the echographic presumptive diagnosis with the final diagnosis of discharge. Its importance in the treatment has been assessed by determining the value of ultrasound findings in the choice of the best treatment. Results The ultrasound examination was positive in 16/18 patients with a final diagnosis of intussusception. Some sonographic findings seemed to be able to predict the opportunity to resort to non-surgical therapeutic options like hydrostatic or pneumatic reduction of the intestinal segments invaginated. In our casuistry, five children presented characteristics typical of this subgroup and underwent barium enema which provided the reduction of the intestinal segments involved. The future challenge will be to perform non-surgical ultrasound-guided reductions to avoid the exposure of the infants to ionizing radiations. Conclusions Ultrasonography is essential not only in the diagnosis, but also it adds important elements in the therapeutic choice and could play in the future an important role in non-surgical reduction of intestinal intussusceptions in pediatric patients.Keywords Intussusception Á Childhood Á Sonography Riassunto Obiettivo Accertare il ruolo dell'ecografia nella diagnosi e trattamento dei pazienti pediatrici con dolore addominale acuto causato da invaginazione intestinale. Materiali e metodi Abbiamo eseguito uno studio retrospettivo su tutti i pazienti pediatrici con dolore addominale acuto causato da intussuscezione e sottoposti ad esame ecografico presso il servizio di emergenza del Dipartimento di Radiologia tra il Novembre 2007 ed il Giugno 2013. Il ruolo dell'ecografia nella diagnosi di intussuscezione è stato valutato comparando la diagnosi presuntiva ecografica con la diagnosi finale di dimissione; per ciò che concerne la sua importanza nel trattamento, ci si è basati sull'influenza dei reperti ecografici sul percorso terapeutico. Risultati Su 18 pazienti con diagnosi finale di intussuscezione l'esame ecografico è risultato positivo in 16 casi; inoltre è stato possibile osservare che alcuni reperti ecografici sembrano essere in grado di predire l'opportunità di ricorrere ad opzioni terapeutiche non chirurgiche, vale a dire riduzione idrostatica o pneumatica del segmento intestinale invaginato. Nella nostra casistica, 5 bambini hanno presentato caratteristiche tali da rientrare in questo sottogruppo, e pertanto sono stati sottoposti a clisma opaco, 123J Ultrasound (2015( ) 18:205-211 DOI 10.1007 tramite cui in 3 casi si è ottenuto lo svaginam...

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Intussusception in children: reduction with repeated, delayed air enema.

Abstract: Repeated, delayed pneumatic reduction of intussusception improves the outcome.

Cited by 75 publications

References 0 publications

Current methods for reducing intussusception: survey results

Current methods for reducing intussusception: survey results

Nonspecific symptoms of intussusception

Intussusception in childhood: role of sonography on diagnosis and treatment

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