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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
Summary
This summary is machine-generated.

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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.

Related Experiment Videos

  • 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.