J Korean Assoc Pediatr Surg.  2009 Dec;15(2):132-140.

The Changing pattern of the Plain Abdominal Radiogram by Progression of the Intussusception in Children

Affiliations
  • 1Department of Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea. webuddy@korea.com

Abstract

The purpose of this study was to determine the success rate of air reduction as the primary treatment of intussusception and whether the success of air reduction could be predicted by plain x-ray. The authors reviewed the medical records of 54 consecutive patients diagnosed with intussusception from Jan 2005 to Dec 2007 at the Department of Surgery, Masan Samsung Hospital. The natures of symptoms and findings of plain abdominal radiography performed in the emergency department (ED) were reviewed. Air reduction failed more frequently (26.3%) in patients who visited ED more than 24 hours after symptom onset (p=0.009). The mean duration of symptom for operated patients was longer than air reduction group (p=0.01). Also, 3/4 of patients having localized distension of small bowel in the left upper quadrant abdomen had unsuccessful air reduction (p=0.002). In conclusion, the time interval from symptom onset to arrival at ED and localized distension of small bowel in the left upper quadrant abdomen significantly increased the failure rate of air reduction.

Keyword

Intussusception; Plain abdominal radiography; Air reduction; Duration of symptom

MeSH Terms

Abdomen
Child
Emergencies
Humans
Intussusception
Medical Records
Nitroimidazoles
Radiography, Abdominal
Sulfonamides
Nitroimidazoles
Sulfonamides
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