Biomaterial Database

Pneumatic reduction of intussusception in children. 1995

M O Rawashdeh, and M R Shraideh, and S M Natour

Department of Paediatrics, Jordan University of Science and Technology, Irbid.

The use of an air enema in the diagnosis and reduction of intussusception, using a simple home-made device, was prospectively studied in 36 children with the tentative diagnosis of intussusception. Plain abdominal films were inconclusive in 19 patients (53%). Using an air enema, the diagnosis of intussusception was easily reached or excluded in all suspected cases. Twenty-nine patients had intussusception. Their ages ranged from 3 to 20 months (mean: 7 months), and all had ileo-colic involvement. Pneumatic reduction was successful in 23 cases (79%), and reduction was completed within 2-3 minutes in all successfully reduced cases. At operation, three children had a tear of the sero-muscular layer of the transverse colon, but there were no perforations or recurrences of the intussusception in the immediate post-reduction or follow-up period (1-25 months). An air enema is a safe, cheap, clean and reliable procedure for the diagnosis and reduction of intussusception, and can now be considered as the treatment of choice in uncomplicated intussusception.

UI	MeSH Term	Description	Entries
D007077	Ileal Diseases	Pathological development in the ILEUM including the ILEOCECAL VALVE.	Disease, Ileal,Diseases, Ileal,Ileal Disease
D007223	Infant	A child between 1 and 23 months of age.	Infants
D007443	Intussusception	A form of intestinal obstruction caused by the PROLAPSE of a part of the intestine into the adjoining intestinal lumen. There are four types: colic, involving segments of the LARGE INTESTINE; enteric, involving only the SMALL INTESTINE; ileocecal, in which the ILEOCECAL VALVE prolapses into the CECUM, drawing the ILEUM along with it; and ileocolic, in which the ileum prolapses through the ileocecal valve into the COLON.	Invagination, Intestinal,Intususception,Intestinal Invagination,Intestinal Invaginations,Intussusceptions,Intususceptions,Invaginations, Intestinal
D011029	Pneumoradiography	Radiography using air, oxygen, or some other gas as a contrast medium.	Air Radiography,Insufflation Radiography,Negative Contrast Radiography,Radiography, Insufflation,Contrast Radiography, Negative,Radiography, Air,Radiography, Negative Contrast,Air Radiographies,Contrast Radiographies, Negative,Insufflation Radiographies,Negative Contrast Radiographies,Pneumoradiographies,Radiographies, Air,Radiographies, Insufflation,Radiographies, Negative Contrast
D011446	Prospective Studies	Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.	Prospective Study,Studies, Prospective,Study, Prospective
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children
D004733	Enema	Insertion of a solution or compound through the RECTUM with the purpose of cleansing the COLON or for diagnostic procedures.	Enemata,Enemas,Enematas
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man