Significance of age, duration, obstruction and the dissection sign in intussusception

L. L. Barr, S. D. Stansberry, L. E. Swischuk

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

A retrospective study of sixty consecutive cases of proven intussusception with attempt at contrast enema reduction was performed to evaluate currently proposed contraindications to such reduction. When patient age, duration of symptoms, presence of small bowel obstruction and presence of a dissection sign were considered alone, none of the findings indicated irreducibility. Our overall reduction rate was 72% with a complication rate of 3%. This is similar to previously reported series and we concur with more recent publications that the only contraindications to non-surgical reduction of intussusception are free intraperitoneal air, peritonitis or evidence of infarcted bowel. Only when we encountered a combination of symptoms being present for greater than 48 hours and the presence of both small bowel obstruction and a dissection sign was reduction likely to be unsuccessful. However, the presence of a prognostic indicator occurring alone should not be considered a contraindication.

Original languageEnglish
Pages (from-to)454-456
Number of pages3
JournalPediatric Radiology
Volume20
Issue number6
DOIs
StatePublished - Jul 1990

Fingerprint

Intussusception
Dissection
Enema
Peritonitis
Retrospective Studies
Air

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Pediatrics, Perinatology, and Child Health

Cite this

Significance of age, duration, obstruction and the dissection sign in intussusception. / Barr, L. L.; Stansberry, S. D.; Swischuk, L. E.

In: Pediatric Radiology, Vol. 20, No. 6, 07.1990, p. 454-456.

Research output: Contribution to journalArticle

Barr, L. L. ; Stansberry, S. D. ; Swischuk, L. E. / Significance of age, duration, obstruction and the dissection sign in intussusception. In: Pediatric Radiology. 1990 ; Vol. 20, No. 6. pp. 454-456.
@article{a1b0b4c06fdd42bea8b4c40c5484350c,
title = "Significance of age, duration, obstruction and the dissection sign in intussusception",
abstract = "A retrospective study of sixty consecutive cases of proven intussusception with attempt at contrast enema reduction was performed to evaluate currently proposed contraindications to such reduction. When patient age, duration of symptoms, presence of small bowel obstruction and presence of a dissection sign were considered alone, none of the findings indicated irreducibility. Our overall reduction rate was 72{\%} with a complication rate of 3{\%}. This is similar to previously reported series and we concur with more recent publications that the only contraindications to non-surgical reduction of intussusception are free intraperitoneal air, peritonitis or evidence of infarcted bowel. Only when we encountered a combination of symptoms being present for greater than 48 hours and the presence of both small bowel obstruction and a dissection sign was reduction likely to be unsuccessful. However, the presence of a prognostic indicator occurring alone should not be considered a contraindication.",
author = "Barr, {L. L.} and Stansberry, {S. D.} and Swischuk, {L. E.}",
year = "1990",
month = "7",
doi = "10.1007/BF02075207",
language = "English",
volume = "20",
pages = "454--456",
journal = "Pediatric Radiology",
issn = "0301-0449",
publisher = "Springer Verlag",
number = "6",

}

TY - JOUR

T1 - Significance of age, duration, obstruction and the dissection sign in intussusception

AU - Barr, L. L.

AU - Stansberry, S. D.

AU - Swischuk, L. E.

PY - 1990/7

Y1 - 1990/7

N2 - A retrospective study of sixty consecutive cases of proven intussusception with attempt at contrast enema reduction was performed to evaluate currently proposed contraindications to such reduction. When patient age, duration of symptoms, presence of small bowel obstruction and presence of a dissection sign were considered alone, none of the findings indicated irreducibility. Our overall reduction rate was 72% with a complication rate of 3%. This is similar to previously reported series and we concur with more recent publications that the only contraindications to non-surgical reduction of intussusception are free intraperitoneal air, peritonitis or evidence of infarcted bowel. Only when we encountered a combination of symptoms being present for greater than 48 hours and the presence of both small bowel obstruction and a dissection sign was reduction likely to be unsuccessful. However, the presence of a prognostic indicator occurring alone should not be considered a contraindication.

AB - A retrospective study of sixty consecutive cases of proven intussusception with attempt at contrast enema reduction was performed to evaluate currently proposed contraindications to such reduction. When patient age, duration of symptoms, presence of small bowel obstruction and presence of a dissection sign were considered alone, none of the findings indicated irreducibility. Our overall reduction rate was 72% with a complication rate of 3%. This is similar to previously reported series and we concur with more recent publications that the only contraindications to non-surgical reduction of intussusception are free intraperitoneal air, peritonitis or evidence of infarcted bowel. Only when we encountered a combination of symptoms being present for greater than 48 hours and the presence of both small bowel obstruction and a dissection sign was reduction likely to be unsuccessful. However, the presence of a prognostic indicator occurring alone should not be considered a contraindication.

UR - http://www.scopus.com/inward/record.url?scp=0025326818&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025326818&partnerID=8YFLogxK

U2 - 10.1007/BF02075207

DO - 10.1007/BF02075207

M3 - Article

C2 - 2392363

AN - SCOPUS:0025326818

VL - 20

SP - 454

EP - 456

JO - Pediatric Radiology

JF - Pediatric Radiology

SN - 0301-0449

IS - 6

ER -