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Barium enema in pediatric intussusception; a review of 108 cases
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|July 1, 1979
Insights
Barium enema is an effective diagnostic tool for intussusception. Attempting reduction via enema is recommended for most cases, reducing complications and hospital stays.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Diagnostic imaging
Background:
- Intussusception is a common surgical emergency in children.
- Accurate diagnosis and timely intervention are crucial for favorable outcomes.
Purpose of the Study:
- To evaluate the efficacy of barium enema in diagnosing and managing intussusception.
- To assess the safety and benefits of attempting radiologic reduction.
Main Methods:
- Retrospective analysis of 108 patients with 125 intussusception cases.
- Review of diagnostic and therapeutic procedures, including barium enema.
Main Results:
- Barium enema demonstrated excellent diagnostic accuracy for intussusception.
- Radiologic reduction was successful in a significant proportion of cases.
- Cases without signs of peritonitis were suitable for enema reduction, showing fewer complications.
Conclusions:
- Barium enema is a highly recommended diagnostic modality for intussusception.
- Enema-induced reduction should be considered in most intussusception cases, excluding those with peritonitis.
- This approach leads to decreased hospital stay and fewer complications.
Abstract:
A material of 108 patients with 125 intussusceptions was evaluated retrospectively. Barium enema is recommended as an excellent diagnostic tool. Reduction should be tried in all cases except those with signs of peritonitis, because the enema causes fewer complications and leads to a considerably decreased hospital stay.