Intussusception: ability of fluoroscopic images obtained during air enemas to depict lead points and other abnormalities.

Miller, Scott E.; Landes, Andrew; Dautenhahn, Lawrence W.; Pereira, John; Connolly, Bairbre; Babyn, Paul; Alton, Douglas J.; Daneman, Alan

doi:10.1148/radiology.197.2.7480700

Cited by 58 publications

(45 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although an LP was determined as the cause of intussusception in only 3% of the cases where intussusception was seen below the age of 1 year, this rate may increase to 57% in children aged over 3 years. [2,9,10] In the current study, during surgery was observed LP in 13.9% of cases.…”

Section: Discussionsupporting

confidence: 51%

A comparison of manual versus hydrostatic reduction in children with intussusception: Single-center experience

Öcal

Cevik

Böleken

et al. 2014

Afr J Paediatr Surg

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 51%

A comparison of manual versus hydrostatic reduction in children with intussusception: Single-center experience

Öcal

Cevik

Böleken

et al. 2014

Afr J Paediatr Surg

View full text Add to dashboard Cite

show abstract

“…There are many types of contrast agents [5,[8][9][10][11][12]; the efficiency of air enema method in our series was 87%, and the complications are extremely rare and are usually avoidable.…”

Section: Discussionmentioning

confidence: 55%

“…Early hospitalization and appropriate (conservative or surgical) treatment usually provide favourable outcomes. Conservative reduction is globally employed and, as a rule, is effective; but in different countries different agents are injected: liquid [8], air [9,10], barium [11,12]. In China, the successful rate of the reduction is about 95% [13].…”

Section: Introductionmentioning

confidence: 99%

Intussusception in children: 11-year experience in Vladivostok

et al. 2006

View full text Add to dashboard Cite

Idiopathic intussusception is an important abdominal emergency in infancy and childhood. The nonoperative management by air enema has always been the standard of care in Russia. Our purpose is to assess our reduction rate and the rate of complications. We performed a retrospective analysis of all intussusception cases seen at the Department of Paediatric Surgery from 1994 to 2005. The data obtained included age, sex, clinical presentation, diagnostic procedures, mode of treatment, and results. Patients included 280 children from 1 month to 14 years of age. Eighty-one percent of children were under age 1 year old, 61% were boys. The duration of symptoms before treatment was less than 18 h in 65%, 18-24 h in 21%, and more than 24 h in 14% of patients. The successful reduction rate was 86.1%. One patient with a duration of symptoms more than 24 h experienced colon perforation. Thirty-nine patients underwent surgery and, among these, abnormalities in the intestinal wall required resection in 12 cases. An association between the duration of symptoms and the outcome of the non-surgical treatment was present; non-surgical reduction was successful in 97.3% in the group with the duration of symptoms less than 18 h, 86.4% in 12-24 h, and 33.3% in more than 24 h. Air enema is a safe and effective approach for uncomplicated intussusception reduction with a high success rate, but the duration of symptoms directly increases the complication rate.

show abstract

“…Pathological lead points in children may also include Meckel diverticulum, duplication cysts, lymphoma, hemangioma and appendix [7][8][9]. Fluoroscopic images during reduction tend to miss pathological lead points [13], however with wide use of ultrasound as a main diagnostic tool in cases of suspected intussusception, pathological lead points may often be demonstrated at the time of diagnosis. US has been reported as having 100% negative predictive value for intussusception diagnosis [6], and also allows preoperative identification of 66% of the lead points and specific diagnosis in 48% [7].…”

Section: Discussionmentioning

confidence: 99%

Is non-operative intussusception reduction effective in older children? Ten-year experience in a university affiliated medical center

et al. 2006

View full text Add to dashboard Cite

Ileo-colic intussusception in older children is frequently caused by a pathological lead point. Therefore, in many cases, no attempts at hydrostatic or air reduction are performed in non-pediatric hospitals. This study summarizes our experience in management of intussusception in children aged 3 years or older, in order to determine its efficacy and safety in this age group. We retrospectively reviewed medical records and radiological images of 26 cases of intussusception in 24 children older than 3 years admitted to our hospital over a 10-year period. In one child no attempt of reduction was made. Three children underwent unsuccessful imaging-guided reduction and an underlying tumor was identified at surgery and resected. In 18 cases air reduction was successful and no pathological lead point was discovered. In four children hydrostatic or air reductions failed. Manual reduction was performed, with no predisposing cause found. No complications were observed in any of our patients. Older age is not a contraindication for imaging-guided intussusception reduction attempt. Most of these patients can benefit from such an attempt, thereby avoiding surgery.

show abstract

Intussusception: ability of fluoroscopic images obtained during air enemas to depict lead points and other abnormalities.

Abstract: Successful reduction of an intussusception does not always rule out a lead point. Other imaging studies, the patient's condition, and laparotomy may also be necessary to diagnose and treat lead points and other lesions.

Cited by 58 publications

References 0 publications

A comparison of manual versus hydrostatic reduction in children with intussusception: Single-center experience

A comparison of manual versus hydrostatic reduction in children with intussusception: Single-center experience

Intussusception in children: 11-year experience in Vladivostok

Is non-operative intussusception reduction effective in older children? Ten-year experience in a university affiliated medical center

Contact Info

Product

Resources

About