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Intussusception: the paediatric radiologist's perspective

R Littlewood Teele1, S A Vogel

  • 1Department of Radiology, Starship Children's Hospital, Grafton, Auckland, New Zealand.

Pediatric Surgery International
|January 9, 1999
PubMed

Insights

Idiopathic intussusception diagnosis and treatment have evolved. Imaging, including plain radiographs and ultrasonography, guides management, with gas enema as the primary treatment for irreducible cases without peritonitis.

Area of Science:

  • Pediatric surgery
  • Diagnostic imaging
  • Gastroenterology

Background:

  • Idiopathic intussusception is a common surgical emergency in children.
  • Diagnosis and management strategies have evolved over the past decade.
  • Accurate and timely diagnosis is crucial for optimal outcomes.

Purpose of the Study:

  • To review the current role of imaging in diagnosing and managing pediatric idiopathic intussusception.
  • To provide an update for surgeons on the latest diagnostic and therapeutic approaches.
  • To highlight the importance of a multidisciplinary approach involving radiologists and surgeons.

Main Methods:

  • Review of current literature and imaging techniques.
  • Description of diagnostic modalities: plain radiographs and ultrasonography.
  • Outline of treatment algorithms based on imaging findings and clinical presentation.

Main Results:

  • Ultrasonography is a primary diagnostic tool for intussusception.
  • Gas enema is the standard non-operative treatment for reducible intussusception.
  • Surgical intervention is reserved for cases with peritonitis, free air, or irreducible intussusception.

Conclusions:

  • Imaging plays a pivotal role in the diagnosis and management of pediatric intussusception.
  • The current diagnostic and treatment paradigm emphasizes non-operative management when feasible.
  • Effective communication between radiologists and surgeons is essential for successful patient care.

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