Skip to main content
Top
Published in: Abdominal Radiology 1/2008

01-01-2008

Ultrasound guided intussusception reduction: are we there yet?

Authors: Geetika Khanna, Kimberly Applegate

Published in: Abdominal Radiology | Issue 1/2008

Login to get access

Excerpt

An 8-month old boy presented to the pediatric surgery service with a 3-day history of irritability and vomiting followed by passage of currant jelly stool over the last 24 h. The patient was referred to radiology for an ultrasound study, which revealed the diagnosis of ileo-colic intussusception. An air enema for reduction under fluoroscopic guidance was recommended. A total of five attempts at intussusception reduction was made, with the total time of 40 min spent in the fluoroscopic suite and a radiation exposure time of 9 min, using pulsed fluoroscopy. The intussusception could not be reduced, and surgical reduction was recommended. …
Literature
1.
go back to reference Malone DE (2007) Evidence-based practice in radiology: an introduction to the series. Radiology 242:12–14PubMed Malone DE (2007) Evidence-based practice in radiology: an introduction to the series. Radiology 242:12–14PubMed
2.
go back to reference Staunton M (2007) Evidence-based radiology: steps 1 and 2–asking answerable questions and searching for evidence. Radiology 242:23–31PubMed Staunton M (2007) Evidence-based radiology: steps 1 and 2–asking answerable questions and searching for evidence. Radiology 242:23–31PubMed
5.
go back to reference Hadidi AT, El Shal N (1999) Childhood intussusception: a comparative study of nonsurgical management. J Pediatr Surg 34:304–307PubMedCrossRef Hadidi AT, El Shal N (1999) Childhood intussusception: a comparative study of nonsurgical management. J Pediatr Surg 34:304–307PubMedCrossRef
6.
go back to reference Gu L, Zhu H, Wang S, Han Y, Wu X, Miao H (2000) Sonographic guidance of air enema for intussusception reduction in children. Pediatr Radiol 30:339–342PubMedCrossRef Gu L, Zhu H, Wang S, Han Y, Wu X, Miao H (2000) Sonographic guidance of air enema for intussusception reduction in children. Pediatr Radiol 30:339–342PubMedCrossRef
7.
go back to reference Lee JH, Choi SH, Jeong YK et al. (2006) Intermittent sonographic guidance in air enemas for reduction of childhood intussusception. J Ultrasound Med 25:1125–1130PubMed Lee JH, Choi SH, Jeong YK et al. (2006) Intermittent sonographic guidance in air enemas for reduction of childhood intussusception. J Ultrasound Med 25:1125–1130PubMed
8.
go back to reference Peh WC, Khong PL, Chan KL et al. (1996) Sonographically guided hydrostatic reduction of childhood intussusception using Hartmann’s solution. AJR Am J Roentgenol 167:1237–1241PubMed Peh WC, Khong PL, Chan KL et al. (1996) Sonographically guided hydrostatic reduction of childhood intussusception using Hartmann’s solution. AJR Am J Roentgenol 167:1237–1241PubMed
9.
go back to reference Chan KL, Saing H, Peh WC et al. (1997) Childhood intussusception: ultrasound-guided Hartmann’s solution hydrostatic reduction or barium enema reduction? J Pediatr Surg 32:3–6PubMedCrossRef Chan KL, Saing H, Peh WC et al. (1997) Childhood intussusception: ultrasound-guided Hartmann’s solution hydrostatic reduction or barium enema reduction? J Pediatr Surg 32:3–6PubMedCrossRef
10.
go back to reference Applegate KE (2005) Intussusception of the gastrointestinal tract. In: Blackmore CC, Medina LS, (eds). Evidence-based Radiology. New York: Springer, pp 475–492 Applegate KE (2005) Intussusception of the gastrointestinal tract. In: Blackmore CC, Medina LS, (eds). Evidence-based Radiology. New York: Springer, pp 475–492
11.
go back to reference Sargent MA, Wilson BP (1991) Are hydrostatic and pneumatic methods of intussusception reduction comparable? Pediatr Radiol 21:346–349PubMedCrossRef Sargent MA, Wilson BP (1991) Are hydrostatic and pneumatic methods of intussusception reduction comparable? Pediatr Radiol 21:346–349PubMedCrossRef
12.
go back to reference Zambuto D, Bramson RT, Blickman JG (1995) Intracolonic pressure measurements during hydrostatic and air contrast barium enema studies in children. Radiology 196:55–58PubMed Zambuto D, Bramson RT, Blickman JG (1995) Intracolonic pressure measurements during hydrostatic and air contrast barium enema studies in children. Radiology 196:55–58PubMed
13.
go back to reference Daneman A, Alton DJ, Ein S et al. (1995) Perforation during attempted intussusception reduction in children—a comparison of perforation with barium and air. Pediatr Radiol 25:81–88PubMedCrossRef Daneman A, Alton DJ, Ein S et al. (1995) Perforation during attempted intussusception reduction in children—a comparison of perforation with barium and air. Pediatr Radiol 25:81–88PubMedCrossRef
14.
go back to reference Shiels WE 2nd, Kirks DR, Keller GL et al. (1993) John Caffey Award. Colonic perforation by air and liquid enemas: comparison study in young pigs. AJR Am J Roentgenol 160:931–935PubMed Shiels WE 2nd, Kirks DR, Keller GL et al. (1993) John Caffey Award. Colonic perforation by air and liquid enemas: comparison study in young pigs. AJR Am J Roentgenol 160:931–935PubMed
15.
go back to reference Khong PL, Peh WC, Lam CH et al. (2000) Ultrasound-guided hydrostatic reduction of childhood intussusception: technique and demonstration. Radiographics 20:E1PubMed Khong PL, Peh WC, Lam CH et al. (2000) Ultrasound-guided hydrostatic reduction of childhood intussusception: technique and demonstration. Radiographics 20:E1PubMed
Metadata
Title
Ultrasound guided intussusception reduction: are we there yet?
Authors
Geetika Khanna
Kimberly Applegate
Publication date
01-01-2008
Publisher
Springer-Verlag
Published in
Abdominal Radiology / Issue 1/2008
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-007-9310-5

Other articles of this Issue 1/2008

Abdominal Radiology 1/2008 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine