Ultrasound-guided reduction of ileocolic intussusception in children

Batoš, Ana Tripalo; Grmoja, Tonći; Roić, Goran

doi:10.5457/p2005-114.151

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…US‐guided hydrostatic reduction is an easy‐to‐use, radiation‐free, cost‐effective method with high success rates 5,9‐11 . Its success rate ranges from 67% to 100% when compared to fluoroscopy‐guided hydrostatic 12‐14 .…”

Section: Discussionmentioning

confidence: 99%

Ultrasound‐guided hydrostatic enema reduction of intussusception and confirmation with single abdominal radiograph in children

Karakuş

Sabuncu

Ulusoy

et al. 2021

J of Clinical Ultrasound

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Purpose To detect false‐positive reduction results after ultrasound (US)‐guided hydrostatic intussusception reduction, we have incorporated water‐soluble contrast material to the enema fluid and confirmed the reduction with a single abdominal radiograph. We present the results of the combined imaging method for the reduction of intussusception in children. Materials and Methods The records of the patients who were treated for intussusception were analyzed retrospectively. Patients were divided into two groups: a US‐guided reduction group and a US‐guided reduction plus radiographic control group. The patient characteristics, symptoms, treatment methods, outcomes, and complications and follow‐up were analyzed. Results A total of 164 intussusception episodes were treated in 153 patients. Hydrostatic reduction of intussusception was performed in 59 patients in the US‐guided group and in 94 patients in the US‐guided plus radiographic control group. Recurrence rate in the US‐guided group was 15.7%, vs 3.5% in the US‐guided plus radiography group (P = .029). In the US‐guided plus radiographic control group, 5 (5.3%) false positive reductions under US guidance were determined by abdominal radiography. Conclusion In order to decrease false positive reduction rate and early recurrence, US‐guided intussusception reduction can be performed with saline plus water‐soluble contrast material and confirmation of reduction obtained with a single direct abdominal radiograph.

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Section: Discussionmentioning

confidence: 99%

Ultrasound‐guided hydrostatic enema reduction of intussusception and confirmation with single abdominal radiograph in children

Karakuş

Sabuncu

Ulusoy

et al. 2021

J of Clinical Ultrasound

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“…Ultrasound-guided hydrostatic reduction is a safe option and the gold standard of non-invasive treatment for infants and children with a high success rate in the diagnosis and treatment of ileocolic intussusception in both early and recurrent episodes [10], [2]. Ultrasound-guided hydrostatic reduction is the most effective non-operative treatment modality for this condition, has a high success rate, is simple and safe because the entire procedure is performed with real-time ultrasound without the danger of radiation to infants and children, time-saving, costeffective, prevents radiation exposure in children, and causes almost no complications and minimal hospitalization time [11], [12], [13]. Ultrasound-guided hydrostatic reduction is performed by a radiologist using a saline solution or saline enema at body temperature with a pressure of 100-120 cm H2O per rectum and waiting until the intussusceptum decreases or retrogrades.…”

Section: Discussionmentioning

confidence: 99%

Ileocolic Intussusception in Radiological Imaging: A Case Report

2023

FEM

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Ileocolic intussusception is an abdominal emergency in infants and toddlers that requires immediate diagnosis and treatment. Aims: The aim of this case report is to explain how cases of ileocolic intussusception can be diagnosed and treated quickly. Methodology: This research is a descriptive study with a case report design on a patient. Results: A baby girl, 3 months old, weighing 6 kg, was referred to the emergency unit with symptoms of vomiting, jelly-red stools, excessive crying, but not bloating. There was no history of fever, trauma, or previous eating. Found of decreased intestinal gas on plain abdominal radiographs, and the appearance of a target sign also known as the doughnut sign and sausage shape on ultrasound examination. Ultrasound-guided hydrostatic reduction has been attempted as a first-line non-operative treatment but failed. The results of the operation it was finally discovered that the cause of the ilecolic intussusception was a polyp. Scientific Novelty: Reliability of ultrasound in finding and diagnosing ileocolic intussusception in infants. Conclusion: Ultrasonography is the gold standard in finding and diagnosing ileocolic intussusception. Ultrasound-guided hydrostatic reduction is the first non-operative treatment before surgery becomes an option. Unsuccessful ultrasound-guided hydrostatic reduction may indicate that the ilecolic intussusception is caused by a polyp.

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The Role of Hydrocolonic Sonography in Diagnostics of the Intussusceptions due to Neoplastic Process in Children

Яницкая

Турабов

2019

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. A nonsurgical reduction is the treatment of choice for intestinal intussusception. A neoplasm-associated intussusception always requires surgery. In case of a tumour it is very important to have the diagnosis determined prior to surgical treatment. The hydrocolonic sonography technique makes it possible to assess the tissue structure and to visualize the lumen of the intestine.Materials and methods. The study presents a retrospective comparative analysis of clinical manifestations and diagnosis methods in all the patients with intussusception (n = 380) treated at the Arkhangelsk Children’sClinicalHospital in 1981–2018. This included all the neoplasm-associated intussusception cases (tumours and polyps). The data was compared to clinical manifestations of intussusception associated with other causes (idiopathic, mesenteric node hyperplasia, diverticulum).Results. Neoplasm-associated intussusception is a rare occurrence (2.3%). If the cause of the intussusception is a tumour the typical recorded manifestations include the combination of the signs of gastrointestinal diseases and loss of weight (8–12%), and a chronic course of development (over one to three months). Polyp-associated small intestinal and ileocolic intussusception, a casuistically rare situation, first manifested as an acute intestinal obstruction with protracted abdominal pain syndrome in anamnesis, or recurrent intussusceptions. Traditional and hydrocolonic sonography made it possible to make the diagnosis of intussusception and to identify a tumour. Non-tumour-associated intussusception presented with an acute course of the disease in every case. It manifested with the typical triad of symptoms (abdominal colic pain, rectal haemorrhage, palpable intussusceptum mass) in every third case. The manifestation of the disease as the dyad of symptoms (vomiting and abdominal colic pain) was significantly more frequent (p = 0.001).Conclusions. Clinical presentation of neoplasm-associated intussusception has certain unique qualities. The ultrasound of abdominal cavity and hydrocolonic sonography make it possible to find the intussusception and to identify the tumour or polyp in the structure of the intussusceptum in 100 % of cases at primary examination. The data obtained is used for the optimisation of the surgical treatment strategy.

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Ultrasound-guided reduction of ileocolic intussusception in children

Cited by 4 publications

References 23 publications

Ultrasound‐guided hydrostatic enema reduction of intussusception and confirmation with single abdominal radiograph in children

Ultrasound‐guided hydrostatic enema reduction of intussusception and confirmation with single abdominal radiograph in children

Ileocolic Intussusception in Radiological Imaging: A Case Report

The Role of Hydrocolonic Sonography in Diagnostics of the Intussusceptions due to Neoplastic Process in Children

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