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[Acute intestinal intussusception in infants and children and abdominal ultrasonography]
Insights
Ultrasound imaging is a reliable method for diagnosing acute intestinal intussusception in children. This approach reduces the need for medication and eliminates the necessity of diagnostic barium enema, improving patient care.
Area of Science:
- Pediatric Radiology
- Gastrointestinal Imaging
Context:
- Acute intestinal intussusception is a common surgical emergency in young children.
- Diagnostic challenges exist in differentiating intussusception from other abdominal pathologies.
- Barium enema, while effective, involves radiation exposure and medication.
Purpose:
- To evaluate the diagnostic accuracy and therapeutic efficacy of ultrasound in pediatric intussusception.
- To compare ultrasound-guided reduction with traditional barium enema methods.
- To assess the reliability of ultrasound in identifying the invaginated bud characteristic of intussusception.
Summary:
- Sixty children with suspected intussusception underwent evaluation.
- An initial group (28) received both ultrasonography and barium enema.
- A subsequent group (32) received therapeutic enema only after positive ultrasound diagnosis, demonstrating ultrasound's reliability and reducing the need for barium enema.
Impact:
- Ultrasound imaging offers a reliable, less invasive diagnostic tool for pediatric intussusception.
- This method minimizes medication use and eliminates the need for diagnostic barium enema.
- Improved diagnostic accuracy and reduced patient exposure to radiation and medication.
Abstract:
Ultrasound imaging findings of the invaginated bud are described in 60 young children referred with a suspected acute intestinal intussusception over a period of 5 months. An initial group of 28 children were examined by ultrasonography and a barium enema for diagnostic and possible therapeutic purposes. The second series of 32 children were a therapeutic enema only when ultrasound images provided a positive diagnosis. The method is considered to be a reliable one requiring less medication, and has the principal advantage of suppression of the need for diagnostic barium enema.