Current radiological management of intussusception in children

Related Experiment Video

Updated: Jul 16, 2026

Catheterization of Intestinal Loops in Ruminants
17:15

Catheterization of Intestinal Loops in Ruminants

Published on: June 11, 2009

Hyun Soo Ko1, Jens Peter Schenk, Jochen Tröger

  • 1Department of Pediatric Radiology, University Hospital Heidelberg, Im Neuenheimer Feld 153, 69120 Heidelberg, Germany.

European Radiology
|February 20, 2007
PubMed

Insights

Intussusception, a common infant emergency, is increasingly managed with advanced diagnostics and treatments. Ultrasound is key for diagnosis, while pneumatic or hydrostatic reduction aims for over 90% success in idiopathic cases.

Area of Science:

  • Pediatric Surgery
  • Pediatric Radiology
  • Gastroenterology

Background:

  • Intussusception is the leading abdominal emergency in infants and young children.
  • Significant advancements have improved its diagnosis and management.
  • Ultrasound (US) is the preferred imaging modality due to its accuracy and ability to identify other conditions.

Purpose of the Study:

  • To review current diagnostic and therapeutic strategies for intussusception.
  • To discuss the efficacy and controversies surrounding nonoperative treatments.
  • To highlight the importance of achieving high success rates in idiopathic intussusception.

Main Methods:

  • Review of diagnostic imaging, focusing on ultrasound.
  • Analysis of nonoperative reduction techniques, including pneumatic and hydrostatic methods.
  • Discussion of treatment outcomes and success rates.

Main Results:

  • Ultrasound offers high accuracy for intussusception diagnosis and can exclude other abdominal pathologies.
  • Pneumatic reduction (fluoroscopic guidance) and hydrostatic reduction (US monitoring) are leading nonoperative treatments.
  • Success rates for idiopathic intussusception should ideally exceed 90%.

Conclusions:

  • Intussusception management has evolved, with ultrasound as a primary diagnostic tool.
  • Nonoperative reduction techniques are effective, with ongoing debate regarding optimal methods.
  • Achieving high success rates is crucial for effective pediatric intussusception treatment.

More Related Videos

Postoperative Ileus Murine Model04:26

Postoperative Ileus Murine Model

Published on: July 12, 2024

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...