Ileocolic intussusception: Ultrasound-guided hydrostatic reduction with sedation and analgesia

2021 ◽  
Vol 63 (5) ◽  
pp. 406-414
Author(s):  
P. Caro-Domínguez ◽  
C. Hernández-Herrera ◽  
C. Le Cacheux-Morales ◽  
V. Sánchez-Tatay ◽  
E. Merchante-García ◽  
...  
Keyword(s):  
Ileocolic Intussusception ◽  
Ultrasound Guided ◽  
Hydrostatic Reduction ◽  
Sedation And Analgesia

Shear wave elastography evaluation in predicting the success of ultrasound-guided saline enema hydrostatic reduction technique in ileocolic intussusception

2021 ◽  
pp. 028418512110187
Author(s):  
İsmail Akdulum ◽  
Enes Gürün ◽  
Melih Akyüz ◽  
Ramazan Tiken ◽  
Hayrunnisa Oral ◽  
...  
Keyword(s):  
Shear Wave ◽  
Shear Wave Elastography ◽  
Primary Treatment ◽  
Distal Portion ◽  
Intestinal Wall ◽  
Ileocolic Intussusception ◽  
Ultrasound Guided ◽  
Hydrostatic Reduction ◽  
Stiffness Measurement ◽  
Ileocecal Intussusception

Background Intussusception is the invagination of the proximal intestinal segment into the distal portion. Reduction procedures with fluid or air have been used as the primary treatment of choice in clinically stable children. Purpose To evaluate the role of intestinal wall elasticity measurements by shear wave elastography (SWE) to predict the success of ultrasound-guided saline enema (USGSE) reduction. Methods USGSE was performed, if not contraindicated otherwise, after the diagnosis of ileocecal intussusception via the ultrasound (US). The length and diameter of the intussusception and the median stiffness of the intestine were measured before USGSE. Results Seventeen children were diagnosed with ileocolic intussusception via grayscale US assessment. Two children whose SWE images became artifacts due to inadaptability were excluded from the study. Thus, the study involved 15 patients (9 boys, 6 girls; age range = 11–48 months). There was no statistically significant association between age and median stiffness measurement in kilopascal (kPa). ( P > 0.05). A moderate positive correlation was observed between the median stiffness measurement (kPa) and the length of intussusception (r = 0.547; P = 0.035). There was no statistically significant relationship between median stiffness measurement (kPa) and short-axis diameter of intussusception ( P > 0.05). Conclusions Stiffness assessment of the intestinal wall in ileocolic intussusception during the US examination, which is the gold standard in the intussusception assessment, can be used as a new criterion for predicting the performance of the USGSE technique and might be useful in making decisions regarding the clinical management of ileocolic intussusception.

scholarly journals Ileocolic intussusception and hydrostatic reduction in a 2-year-old girl

2012 ◽  
Vol 2012 (nov22 2) ◽  
pp. bcr2012007466-bcr2012007466 ◽  
Author(s):  
J. Menke
Keyword(s):  
Ileocolic Intussusception ◽  
Hydrostatic Reduction

Analgesic Premedication in the Management of Ileocolic Intussusception

PEDIATRICS ◽  
1987 ◽  
Vol 79 (3) ◽  
pp. 432-434
Author(s):  
ROBERT J. TOULOUKIAN ◽  
JOSEPH B. O'CONNELL ◽  
RICHARD I. MARKOWITZ ◽  
NANCY ROSENFIELD ◽  
JOHN H. SEASHORE ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Signs And Symptoms ◽  
Optimal Management ◽  
New Haven ◽  
Barium Study ◽  
Ileocolic Intussusception ◽  
Seasonal Incidence ◽  
Hydrostatic Reduction ◽  
Operative Findings ◽  
Haven Hospital

Hydrostatic reduction of ileocolic intussusception by barium enema is uniformly regarded as optimal management, with surgical treatment reserved for occasions when this is not successful and for other selected circumstances.1 In an attempt to maximize the success rate of hydrostatic reduction, we examined the effect of analgesic premedication on both the outcome for the barium study and the operative findings. MATERIALS AND METHODS The case records and radiographs of 76 children with ileocolic intussusception treated at the Yale-New Haven Hospital between Jan 1, 1974, and Dec 31, 1984, were reviewed for patient age, sex, seasonal incidence, presenting signs and symptoms, and results of hydrostatic reduction, as well as surgical treatment with operative findings, morbidity, and mortality.

Ultrasound-guided hydrostatic reduction of ileo-colic intussusception in childhood: first-line management for both primary and recurrent cases

2021 ◽  
pp. 1-5
Author(s):  
Berat Dilek Demirel ◽  
Sertac Hancıoğlu ◽  
Basak Dağdemir ◽  
Meltem Ceyhan Bilgici ◽  
Beytullah Yagiz ◽  
...  
Keyword(s):  
Ultrasound Guided ◽  
First Line ◽  
Hydrostatic Reduction ◽  
Line Management
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