Journal Article10.1007/S00247-003-1082-7
Intussusception. Part 2: An update on the evolution of management.
Alan Daneman,Oscar M. Navarro +1 more
231
TL;DR: Current concepts and some controversial issues related to management of intussusception are highlighted, including patient selection for attempted enema reduction, the advantages and disadvantages of each technique, complications, the value of delayed, repeated reduction attempts, the role of imaging after attempted enEMA reduction, and recurrence of int Mussusception.
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Abstract: Children with symptomatic ileocolic or ileo-ileocolic intussusceptions can be successfully managed in one of a number of different ways. The nonoperative enema reduction technique has major advantages over surgical reduction and high success rates can be achieved using pneumatic or hydrostatic reduction techniques under fluoroscopic or sonographic guidance. This article highlights current concepts and some controversial issues related to management of intussusception, including patient selection for attempted enema reduction, the advantages and disadvantages of each technique, complications, the value of delayed, repeated reduction attempts, the role of imaging after attempted enema reduction, and recurrence of intussusception.
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Citations
Intussusception in children: evidence-based diagnosis and treatment
TL;DR: Intussusception can be reliably diagnosed when a ‘donut’,‘target’ or ‘pseudokidney’ sign is seen with sonography, and the optimal US technique in this population is well described and includes the use of a linear transducer.
199
Pediatric emergency medicine point-of-care ultrasound: summary of the evidence
Jennifer R. Marin,Alyssa Abo,Alexander C. Arroyo,Stephanie J. Doniger,Jason W. Fischer,Rachel G. Rempell,Brandi Gary,James F. Holmes,David Kessler,Samuel H.F. Lam,Marla C. Levine,Jason A. Levy,Alice F. Murray,Lorraine Ng,Vicki E. Noble,Daniela Ramirez-Schrempp,David C. Riley,Turandot Saul,Vaishali P. Shah,Adam Sivitz,Ee Tein Tay,David Teng,Lindsey Chaudoin,James W. Tsung,Rebecca L. Vieira,Yaffa M. Vitberg,Resa E. Lewiss +26 more
TL;DR: This document serves as an initial step in the detailed “how to” and description of individual point-of-care ultrasound examinations for pediatric emergency medicine providers.
Current success in the treatment of intussusception in children
TL;DR: Success of intussusception reduction is improved with air-contrasted techniques and is not affected by previously failed, outside attempts.
167
Current radiological management of intussusception in children
TL;DR: Different types of intussusception are summarized and diagnostic aspects as well as several treatment concepts are outlined, including pneumatic reduction under fluoroscopic guidance and hydrostatic reduction under US monitoring are the preferred techniques.
121
Imaging of Juvenile Idiopathic Arthritis: A Multimodality Approach
TL;DR: Complexity of the temporomandibular and sacroiliac joints limits the usefulness of radiographic or US evaluation, and contrast-enhanced MR imaging is the preferred modality for evaluation of these structures.
106
References
•Journal Article
[Intussusception in the Pediatric Hospital of Coimbra. 13-year results].
Cruz Lopes Mf,Afonso Reis Am,Andrade Rolo Vm,Marqués Correia Aj,Aragão Machado M,Matos Coimbra Ja +5 more
TL;DR: The results from 233 consecutive patients treated for intussusception at the Children's Hospital of Coimbra over a 13-year period show that Males outnumbered females, and 87.9% of the cases occurred within the first year of life.
4
•Journal Article
Intussusception in infancy and childhood
TL;DR: The most common signs and symptoms upon presentation were vomiting, colicky pain, rectal bleeding and abdominal mass, giving a finding characteristic of intussusception, which was the primary mode of investigation in four children.
1
Patterns of recurrence of intussusception in children: a 17-year review.
TL;DR: Because of the high reduction rate of recurrences, lack of perforation and favourable long-term follow-up, it is recommended to recommend radiological reduction for recurrent INT.