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Intussusception: past, present and future

Emily A Edwards1, Nicholas Pigg2, Jesse Courtier3

  • 1Department of Radiology and Biomedical Imaging, Benioff Children's Hospital, University of California San Francisco, 505 Parnassus Ave, San Francisco, CA, 94143, USA. emily.edwards@ucsf.edu.

Pediatric Radiology
|August 6, 2017
PubMed

Insights

Intussusception, a common cause of childhood abdominal pain, has seen diagnostic and treatment advances over 70 years. Ultrasound is now a key tool for diagnosing and treating this condition.

Area of Science:

  • Pediatric Gastroenterology
  • Diagnostic Imaging
  • Surgical Emergencies

Background:

  • Intussusception is a frequent cause of acute abdominal pain in pediatric patients.
  • Diagnosis and management of intussusception have evolved significantly over the past seven decades.
  • The role of imaging, particularly ultrasound, has become increasingly prominent.

Purpose of the Study:

  • To review the historical evolution of intussusception diagnosis and treatment.
  • To highlight the current approaches to managing intussusception in children.
  • To emphasize the diagnostic and therapeutic utility of ultrasound in intussusception.

Main Methods:

  • Literature review of historical and contemporary studies on intussusception.
  • Analysis of diagnostic modalities, focusing on the progression towards ultrasound.
  • Examination of therapeutic strategies, including ultrasound-guided interventions.

Main Results:

  • Significant changes in diagnostic accuracy and treatment efficacy over 70 years.
  • Ultrasound has emerged as a primary imaging modality for intussusception.
  • Ultrasound facilitates both diagnosis and non-operative reduction of intussusception.

Conclusions:

  • Modern management of intussusception relies heavily on advancements in diagnostic imaging.
  • Ultrasound offers a safe, effective, and non-invasive approach for diagnosing and treating pediatric intussusception.
  • Continued focus on ultrasound underscores its critical role in pediatric abdominal emergencies.

Keywords:
ChildrenFluoroscopyIntussusceptionReductionTechniqueUltrasound

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