Air encircling the intussusceptum on air enema for intussusception reduction: an indication for surgery?
| Autor: | D Arbell, N Simanovsky, P D Lebensart, Benjamin Z. Koplewitz, K Abu-Dalu, R Udassin |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Insufflation medicine.medical_specialty medicine.medical_treatment Enema Intussusception (medical disorder) Intestine Small medicine Humans Radiology Nuclear Medicine and imaging Air enema Reduction (orthopedic surgery) Retrospective Studies Full Paper medicine.diagnostic_test business.industry Air Clinical course Infant Interventional radiology Retrospective cohort study General Medicine medicine.disease digestive system diseases Surgery Treatment Outcome Child Preschool Female business Intussusception |
| Zdroj: | The British Journal of Radiology. 84:719-726 |
| ISSN: | 1748-880X 0007-1285 |
| DOI: | 10.1259/bjr/19392930 |
| Popis: | Objectives: The prompt identification of children in whom enema reduction of intussusception might fail and surgery is necessary is crucial in order to avoid futile repeat attempts and untoward complications. The purpose of this retrospective review was to determine whether air encircling the intussusceptum in the small bowel during air enema for intussusception reduction could serve as an indication for operation rather than repeat attempts at radiological reduction. Methods: Imaging studies of 83 children aged 4 to 40 months with idiopathic intussusception who had air enema for intussusception reduction were reviewed for the presence of air encircling the intussusceptum in the distal small bowel. Findings were correlated with clinical course and surgical findings. Results: In 12 of 83 patients, air was seen encircling the intussusceptum in the small bowel, and in 11 of these (88%) air enema failed to reduce the intussusception. In 8 of the 11, delayed repeated attempts using air enema failed to reduce intussusception. Clinical signs and their duration did not differ between those children without and those with air encircling the intussusceptum. Conclusion: In the presence of air encircling the intussusceptum in the distal small bowel on air enema, delayed repeated attempts for intussusception reduction are unlikely to succeed, and surgery is indicated. |
| Databáze: | OpenAIRE |
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