Results of air pressure enema reduction of intussusception: 6,396 cases in 13 years

Guo, Jingzhen; Ma, Xiaoyi; Zhou, Qi-hong

doi:10.1016/0022-3468(86)90040-0

Cited by 176 publications

(92 citation statements)

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“…Gas reduction of intussusception was first described in 1959 [1] and has been used extensively in China for many years [2][3][4]. In recent years, the technique has gained popularity in the West as an alternative to hydrostatic reduction…”

Section: Ajr 1 993;160:363-366mentioning

confidence: 99%

Gas enema for the reduction of intussusception: relationship between clinical signs and symptoms and outcome.

Katz

Phelan²,

Carlin³

et al. 1993

American Journal of Roentgenology

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Section: Ajr 1 993;160:363-366mentioning

confidence: 99%

Gas enema for the reduction of intussusception: relationship between clinical signs and symptoms and outcome.

Katz

Phelan²,

Carlin³

et al. 1993

American Journal of Roentgenology

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“…In Western countries, the main contrast media used for this procedure were barium sulfate suspension and, later, water-soluble contrast medium mixtures [6], [7]. Rectal insufflation of air is preferred in China and Argentina, where intussusception is particularly frequent [8], [9]. The use of air or oxygen to reduce intussusception was accepted in North America and Europe a little more than 10 years ago [10], [11].…”

Section: Discussion:-mentioning

confidence: 99%

Our Experience in Ultrasound Guided Saline Reduction in Childhood Intussusception.

Muthukumaran¹,

Vembar²,

Gomathi³

et al. 2017

IJAR

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To study the feasibility and efficacy of ultrasound guided saline reduction of acute intussusception in children who present early. Materials and Methods: Thirty five children with intussusception were subjected to saline reduction. Results: Of the thirty five patients who underwent this procedure, all had complete reduction of ileo-colic intussusception. Two had recurrence after total reduction and rereduction failed. The patients then underwent laparotomy . Conclusion: Ultrasound guided saline reduction for childhood intussusception is safe and may be an effective alternative method in the non-operative management of intussusception. …………………………………………………………………………………………………….... Introduction:-Intussusception is a common abdominal emergency in infants and children. A lot of debate exists regarding the best method for diagnosis and treatment. In our set up, most children with intussusception come to us late and only a few satisfy the criteria for non-operative hydrostatic reduction. Whenever hydrostatic reduction of intussusception is feasible, barium enema has been considered the gold standard. However recently, alternative methods using air [1], oxygen [2] and ionic water soluble iodinated contrast media [3] have been reported.As the diagnosis of intussusception can be easily made out by ultrasound , we tried hydrostatic reduction of childhood intussusception using water under US guidance, with the idea of reducing exposure to radiation, lessening absorption of radiation by the contrast media and decreasing potential peritoneal contamination in the event of iatrogenic perforation during attempted reduction Materials and Methods:-In 2016, 50 patients in the age group of three months to 11 years presented to us with signs and symptoms suggestive of intussusception of which 32 were boys and 18 were girls. US guided saline reduction was attempted in 35 of these patients. Only those patients who did not have signs of peritonitis, perforation and/or shock were taken up for hydrostatic reduction. The diagnosis was made by visualization of a doughnut or target-shaped mass on transverse images (hypoechoic edematous bowel surrounding a central area of increased echogenicity) and a pseudo-kidney appearance on the longitudinal images.

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“…To achieve success with this method, certain principles must be vigorously observed. The pre-requisites before attempting reduction are that duration of symptoms should be less than 2 days, there should be no signs of intestinal obstruction on X-ray and there are no signs of localized or general peritonitis 13,14 .…”

Section: Discussionmentioning

confidence: 99%

“…Under fl uoroscopic guidance, pressure applied within the distal bowel pushes the intussuscipiens proximally. Complete reduction was confi rmed only when barium freely fi lled more proximal loops of bowel with refl ux into terminal ileum 12,13,14 . Foleys catheter of size 14 and 16 French were used and pressure was maintained with enema can in the height of one meter.…”

Section: Methodsmentioning

confidence: 99%

“…Patients who were diagnosed and referred from outside underwent repeat ultrasound Patients with suitable indications underwent barium enema reduction. The selection for barium enema reduction was based on the following criteria: clinical history of less than 48 hours with good general condition of the patient, patients with no abdominal distension, no blood in stool, no signs of peritonitis and shock and no air fl uids level in x-ray 13,11 .…”

Section: Methodsmentioning

confidence: 99%

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Clinical Analysis, Management and Outcome of Intussusception in Children

Thapa

Chaudhary

Pun

et al. 2012

J. Nepal Paedtr. Soc.

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Introduction: Intussusception is the commonest cause of bowel obstruction in infancy and childhood. Early diagnosis and management is essential to reduce morbidity and mortality. The objective was to To review the diagnostic criteria of intussusception in infants and children to increase awareness of attending personnel for effective management decrease the rate of operative treatment and complications. Materials and Methods: The data collected of all 38 patients admitted in Kanti Childrens Hospital between 2008 September to 2009 September were studied prospectively. Each patient was evaluated in regard to age at presentation, sex, signs and symptoms, diagnostic method, treatment (operative, non-operative). Results: During study period of one year there were a total of 20 (52%) males and 18 (48%) females of age 3 months to 6 years. Pain abdomen was seen in 25(66%), vomiting 16(42%), diarrhea 15(40%), blood mixed with stool 10(26%). These symptoms were seen in different combination. X-ray erect abdomen was done in 15 and ultrasound in all 38 cases. Ten out of 15 (66.6%) patients with early presentation and diagnosis had successful barium enema reduction.10 (66.6%) had successful reduction and admitted to our hospital. 28(74%) patients were undergone laparatomy. Among 28 (74%) patents that had lapartotomy, manual reduction was successful in 18 and 10 required bowel resection and anastomosis. Conclusion: The awareness of early features of intussusception is important for early referral to tertiary centers for successful non-operative barium reduction and reduce the need of laparotomies in children.

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Results of air pressure enema reduction of intussusception: 6,396 cases in 13 years

Cited by 176 publications

References 0 publications

Gas enema for the reduction of intussusception: relationship between clinical signs and symptoms and outcome.

Gas enema for the reduction of intussusception: relationship between clinical signs and symptoms and outcome.

Our Experience in Ultrasound Guided Saline Reduction in Childhood Intussusception.

Clinical Analysis, Management and Outcome of Intussusception in Children

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