Abdominal radiography is not necessary in children with intussusception
Autor: | Farhan Tareen, Siobhan M Hoare, Danielle Mc Laughlin, Brian Sweeney, Prem Puri, Fiona Cianci, Alan Mortell |
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Rok vydání: | 2015 |
Předmět: |
Male
Radiography Abdominal medicine.medical_specialty Adolescent Radiography 03 medical and health sciences 0302 clinical medicine Pneumoperitoneum 030225 pediatrics Intussusception (medical disorder) Pediatric surgery medicine Humans 030212 general & internal medicine Child Retrospective Studies business.industry Infant Newborn Infant Reproducibility of Results Retrospective cohort study General Medicine medicine.disease Occult Abdominal Radiography Surgery Child Preschool Pediatrics Perinatology and Child Health Cohort Female business Intussusception |
Zdroj: | Pediatric surgery international. 32(1) |
ISSN: | 1437-9813 |
Popis: | Children with intussusception require rapid and accurate diagnosis to enable timely intervention for satisfactory outcome. Ultrasonography is the recommended standard diagnostic modality; however, abdominal radiography (AR) is still used as an initial investigation. The aim of this study was to investigate the benefit of AR in intussusception by determining diagnostic accuracy and analysing correlation of AR findings with outcome. Index cases of intussusception presenting over 15 years (1998–2013) were analysed. Those who had AR performed were allocated into groups with positive or normal findings. Outcome of pneumatic reduction of intussusception (PRI) between these groups was compared. Six hundred and forty-four cases of intussusception treated with PRI were identified, 412 (64 %) had AR performed and 232 (36 %) did not. 303 (74 %) radiographs had positive findings and 109 (26 %) were normal. The success rate of PRI did not differ between AR positive (82 %) and AR normal (84 %). Occult pneumoperitoneum was not detected in any patient by AR in our cohort. AR is not recommended for the diagnosis of intussusception in children, for the prediction of the outcome of PRI or for the detection of occult pneumoperitoneum. AR should always be performed when clinical peritonism is present but is not otherwise necessary in children with suspected or confirmed intussusception. |
Databáze: | OpenAIRE |
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