Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Grasso, S. N.
Right arrow Articles by Croitoru, D. P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Grasso, S. N.
Right arrow Articles by Croitoru, D. P.

Radiology, Vol 191, 777-779, Copyright © 1994 by Radiological Society of North America

ARTICLES

Transabdominal manually assisted reduction of pediatric intussusception: reappraisal of this historical technique

SN Grasso, ME Katz, HJ Presberg and DP Croitoru
Department of Radiology, Children's Hospital of the King's Daughters, Norfolk, Va.

PURPOSE: To determine whether manual manipulation of the abdomen during intussusception reduction improves the success rate or affects morbidity. MATERIALS AND METHODS: A retrospective study was performed in 38 cases of intussusception in 35 children over a 33-month period at a pediatric hospital. In all cases, pneumostatic pressure was used as the initial method of treatment. A comparative review of the intussusception literature was also performed. RESULTS: Reduction was achieved with pneumostatic pressure alone in 22 cases (an initial success rate of 58%). Transabdominal manual manipulation was used in 10 cases after initial pneumostatic reduction failed; seven of these 10 cases were treated successfully. These seven additional successes, attributed to manual assistance, significantly improved the success rate from 58% to 76% (P < .016). No perforation or other complication occurred. CONCLUSION: These results and findings of the literature review indicate that transabdominal manual assistance during reduction is a potentially useful technique that has been shunned without scientific basis for longer than 40 years.


This article has been cited by other articles:


Home page
 J Ultrasound MedHome page
J. H. Lee, S. H. Choi, Y. K. Jeong, W. J. Kwon, A. K. Jeong, B. S. Kang, and S. H. Shin
Intermittent sonographic guidance in air enemas for reduction of childhood intussusception.
J. Ultrasound Med., September 1, 2006; 25(9): 1125 - 1130.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
G. del-Pozo, J. C. Albillos, D. Tejedor, R. Calero, M. Rasero, U. de-la-Calle, and U. Lopez-Pacheco
Intussusception in Children: Current Concepts in Diagnosis and Enema Reduction
RadioGraphics, March 1, 1999; 19(2): 299 - 319.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1994 by the Radiological Society of North America.