Value of sonographic guidance of air enema for pediatric intussusception reduction
SUN Bo
TIAN Jun
BAN Yongguang
XU Chongyang
ZHANG Dianxing
WANG Dan
WANG Gang
QI Hengtao
JIAO Chenwei
Abstract：Objective To investigate the clinical value of sonographic guidance of air enema for pediatric intussusception re-duction.Methods We retrospectively analyzed imaging data of 37 children with acute intussusception.All patients were per-formed abdominal radiography before the air enema to eliminate the possible presence of free abdominal gas.After sonographic di-agnosis confirmed, all the patients directly underwent sonographic guidance of air enema for reduction.The enema pressure was set from 5 kPa to 12 kPa.If a complicated perforation occurred, soft chirismus was performed on the belly.The enema reduction would be performed successfully if the intussusception section disappeared quickly and lots of air run into the small bowel.Results All cases were ilium-colon type with typical“concentric rings sign”, and were reducted successfully by air enema.Edema of ileo-cecal valve, which manifested as hypoechoic annular zone and were called as“dark ring sign”, were found in 3 cases.Conclu-sion Sonographic guidance of air enema for intussusception reduction is a convenient, quick and none-radiative method for the treatment of intussusception.It may be expected to become the preferred treatment in the future.
Keywords：Sonographic guidanceAir enemaIntussusceptionReduction
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1825-1828 )