Significance of age, duration, obstruction and the dissection sign in intussusception
- 1 July 1990
- journal article
- conference paper
- Published by Springer Nature in Pediatric Radiology
- Vol. 20 (6), 454-456
- https://doi.org/10.1007/bf02075207
Abstract
A retrospective study of sixty consecutive cases of proven intussusception with attempt at contrast enema reduction was performed to evaluate currently proposed contraindications to such reduction. When patient age, duration of symptoms, presence of small bowel obstruction and presence of a dissection sign were considered alone, none of the findings indicated irreducibility. Our overall reduction rate was 72% with a complication rate of 3%. This is similar to previously reported series and we concur with more recent publications that the only contraindications to non-surgical reduction of intussusception are free intraperitoneal air, peritonitis or evidence of infarcted bowel. Only when we encountered a combination of symptoms being present for greater than 48 hours and the presence of both small bowel obstruction and a dissection sign was reduction likely to be unsuccessful. However, the presence of a prognostic indicator occurring alone should not be considered a contraindication.This publication has 14 references indexed in Scilit:
- John Caffey Award. Intussusception reduction in children by rectal insufflation of airAmerican Journal of Roentgenology, 1988
- Results of air pressure enema reduction of intussusception: 6,396 cases in 13 yearsJournal of Pediatric Surgery, 1986
- Treatment of intussusception with small bowel obstruction: application of decision analysisAmerican Journal of Roentgenology, 1985
- Experimental evaluation of various available contrast agents for use in the gastrointestinal tract in case of suspected leakage. Effects on peritoneumThe British Journal of Radiology, 1985
- The dissection sign of nonreducible ileocolic intussusceptionAmerican Journal of Roentgenology, 1984
- Perforation of the intussuscepted colonAmerican Journal of Roentgenology, 1981
- Colon perforation during attempted barium enema reduction of intussusceptionJournal of Pediatric Surgery, 1981
- Childhood intussusception: Hydrostatic reducibility and incidence of leading points in different age groupsPediatric Radiology, 1980
- Intussusception in the 1970s: Indications for operationJournal of Pediatric Surgery, 1977
- Leading points in childhood intussusceptionJournal of Pediatric Surgery, 1976