Pneumatic reduction of intussusception: Clinical experience and factors affecting outcome
| Autor: | V.G.M. McDermott, T. Taylor, G. M. A. Hendry, S. Mackenzie |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Perforation (oil well) Rectum Enema digestive system Intussusception (medical disorder) Intestine Small Pressure medicine Humans Radiology Nuclear Medicine and imaging Reduction (orthopedic surgery) Retrospective Studies Ileal Diseases business.industry Infant Invagination Insufflation Retrospective cohort study General Medicine medicine.disease digestive system diseases Surgery Bowel obstruction Treatment Outcome medicine.anatomical_structure El Niño Child Preschool Female Gastrointestinal Hemorrhage business Intussusception Intestinal Obstruction |
| Zdroj: | Clinical Radiology. 49:30-34 |
| ISSN: | 0009-9260 |
| DOI: | 10.1016/s0009-9260(05)82910-1 |
| Popis: | Between 1987 and 1992, 54 patients (32 male, 22 female) underwent 62 attempts at pneumatic reduction of intussusception. The mean age at presentation was 12.5 months (range 2.5 to 4 years 4 months). A retrospective review of all cases was performed to identify success rate and factors affecting it. Successful reduction was achieved in 46 cases (74%). One case was complicated by perforation and four cases (7%) by early recurrence. Patients with failed pneumatic reduction were more likely than those with successful reduction to have: (1) long duration of symptoms; (2) bleeding per rectum; (3) small bowel obstruction. Among the 16 cases of failed reduction, surgical findings were: five cases of ileo-ileo-colic intussusception, one with ileo-ileal, one with perforated ischaemic colon during air enema and one whose intussusception was found to be reduced at surgery. Three patients had lead points: Meckel's diverticula in two and a pinworm in one. Resection was required in three cases for non-viable bowel and in another two for the Meckel's diverticula. Pneumatic reduction of intussusception offers a high success rate with few complications. Performing an air enema earlier in the course of the disease may increase the chance of successful reduction. |
| Databáze: | OpenAIRE |
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