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Variations in the radiological management of intussusception: results of a postal survey
F M Jewell1, C Roobottom, A Duncan
1Department of Clinical Radiology, Bristol Royal Infirmary, UK.
Insights
Radiologists in British hospitals vary in their approach to intussusception reduction. While most district general hospitals use barium, teaching hospitals and specialist pediatric units prefer pneumatic reduction methods.
Area of Science:
- Radiology
- Pediatric Surgery
Background:
- Intussusception is a common surgical emergency in infants and children.
- Radiological reduction is a primary treatment modality.
Purpose of the Study:
- To survey current radiological reduction practices for intussusception in British hospitals.
- To identify trends in the adoption of different reduction techniques.
Main Methods:
- A questionnaire-based survey was distributed to radiologists across various UK hospital types.
- Data were collected from 51 district general hospitals and 25 teaching/specialist pediatric institutions.
Main Results:
- District general hospitals predominantly utilize barium enema for intussusception reduction.
- Teaching hospitals and specialist pediatric units show a preference for pneumatic reduction.
- Significant variation exists in contraindications, patient preparation, and technical aspects between methods.
Conclusions:
- A divergence in intussusception reduction techniques is evident between general and specialist pediatric centers in the UK.
- Standardization of protocols for radiological reduction of intussusception may be beneficial.
Abstract:
A survey of the radiological reduction of intussusception in a selection of British hospitals was performed using a questionnaire. Replies were received from radiologists working in 51 district general hospitals and 25 teaching hospitals or specialist paediatric institutions. Most district general hospitals still use barium as the sole method of reduction of intussusception. Most teaching hospitals and specialist paediatric units have changed to a pneumatic method. The contra-indications, details of patient preparation and technical details of each method varied considerably.