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Related Experiment Videos

Hydrostatic reduction of intussusceptions caused by lead points.

S H Ein, B Shandling, B J Reilly

    Journal of Pediatric Surgery
    |October 1, 1986
    PubMed
    Summary

    Hydrostatic barium enema can reduce intussusceptions caused by lead points in children. A persistent filling defect after barium enema indicates a lead point requiring surgery.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Radiology

    Background:

    • Intussusception is a common surgical emergency in children.
    • Lead points are typically considered irreducible by hydrostatic reduction.
    • Previous studies suggest barium enema is ineffective for intussusception with lead points.

    Purpose of the Study:

    • To investigate the efficacy of hydrostatic barium enema in reducing intussusceptions caused by lead points.
    • To evaluate the significance of residual filling defects after barium enema in pediatric intussusception.

    Main Methods:

    • Retrospective review of five pediatric cases over nine years.
    • Hydrostatic barium enema for ileocolic intussusception.
    • Surgical exploration and resection of lead points.

    Main Results:

    • Five cases of ileocolic intussusception with lead points were successfully reduced by hydrostatic barium enema.
    • No difference in clinical presentation compared to typical intussusception cases.
    • All cases required mandatory laparotomy due to residual filling defects, revealing resected lead points.

    Conclusions:

    • Hydrostatic barium enema can reduce intussusceptions caused by lead points.
    • A residual intraluminal filling defect post-barium enema is a strong indicator of a lead point.
    • Such defects necessitate laparotomy for definitive management and lead point resection.

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