Air Reduction for lntussusception in Infancy and Childhood:
Ultrasonographic Diagnosis and Management Without X-Ray Exposure
Takuji Todani, Yasuhisa Sato, Yasuhiro Watanabe, Akira Toki, Sadashige Uemura,
Yoshiki Morotomi
Z Kinderchir 45: 222-226, 1990
For the treatment of uncomplicated intussusception in
infants and children, we attempted air reduction without x-ray study to
avoid the genetic and carcinogenic effects of radiation. Intussusception
could generally be diagnosed by ultrasonography in addition to the history
and typical clinical signs without using a barium enema. The success of
reduction could also be safely evaluated from the disappearance of both
the characteristic sonographic target sign and the abdominal palpable mass,
and improvement in the general condition 2 or 3 hours after completing this
procedure. This simple, cheap and clean reduction method was applied to
I 27 patients under strict indications and sedation with diazepam. The successful
reduction rate was high (90.6 %) and equal to that by hydrostatic reduction.
Accordingly, this procedure appears to be safely applicable to the management
of uncomplicated intussusception in infancy and childhood.
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