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[Acute intestinal intussusception: ultrasonic diagnosis and air insufflation]
J P Pracros1, C Tourasse, V Tran Minh
1Service de radiologie, hôpital Debrousse, Lyon, France.
Insights
Ultrasonography accurately diagnosed childhood intussusception in 100% of cases. Simple colonic air insufflation, aided by midazolam, successfully reduced intussusception in 93% of children without complications.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Imaging
- Minimally Invasive Procedures
Context:
- Intussusception is a common pediatric surgical emergency.
- Accurate and timely diagnosis is crucial for effective treatment.
- Traditional treatments may involve invasive procedures.
Purpose:
- To evaluate the diagnostic accuracy of ultrasonography for intussusception.
- To assess the efficacy and safety of colonic air insufflation for intussusception reduction.
- To introduce a novel, manually controlled air insufflation device.
Summary:
- Ultrasonography demonstrated 100% diagnostic accuracy in identifying intussusception in 65 children.
- Colonic air insufflation, utilizing a simple manual device with pressure control and intrarectal midazolam, achieved a 93% success rate in reducing intussusception.
- No complications were reported during or after the air insufflation procedure.
Impact:
- Ultrasonography is a reliable diagnostic tool for pediatric intussusception.
- Colonic air insufflation offers a safe, effective, and minimally invasive treatment option.
- The developed manual insufflation device provides controlled and safe pressure application.
Abstract:
Sixty-five children with intussusception were diagnosed by ultrasonography. Colonic air insufflation was the principle form of treatment. The diagnosis value of ultrasound was 100% and the success rate of reduction by air insufflation was 93%, after intrarectal injection of midazolam (0.3 mg/kg). The device for insufflation was simple, original and manual, with permanent control of intrarectal pressure. No complications were observed.