Abstract:
BACKGROUND:Fluoroscopically guided air reduction of intussusception is a well-accepted technique. There are only two previous reports in which US has been used to monitor pneumatic reduction. OBJECTIVE:To assess the ability of US to monitor the success of air reduction of intussusception. MATERIALS AND METHODS:Sonographically guided air-enema reduction of intussusception in 199 children. In phase I (11 children), the success or failure of reduction was confirmed by fluoroscopy. In phase II (188 children), complete reduction was confirmed by clinical improvement of the child and repeat sonography 1 h later showing no persistent intussusception. RESULTS:In phase I, fluoroscopy confirmed the accuracy of US in all 11 children. In phase II, the success rate of initial reduction was 95%. Following successful reduction, US repeated 1 h later showed no recurrence of intussusception in 92%. In ten (5%) of 188, initial reduction was unsuccessful; fluoroscopically guided air reduction successfully reduced only three of these ten failures. CONCLUSIONS:Air enema guided by US is a practical and reliable technique for the reduction of intussusception.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Gu L,Zhu H,Wang S,Han Y,Wu X,Miao Hdoi
10.1007/s002470050754keywords:
subject
Has Abstractpub_date
2000-05-01 00:00:00pages
339-42issue
5eissn
0301-0449issn
1432-1998journal_volume
30pub_type
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