Sonographic guidance of air enema for intussusception reduction in children.

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 Radiol

journal_title

Pediatric radiology

authors

Gu L,Zhu H,Wang S,Han Y,Wu X,Miao H

doi

10.1007/s002470050754

keywords:

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

339-42

issue

5

eissn

0301-0449

issn

1432-1998

journal_volume

30

pub_type

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