Seminars in Roentgenology
Volume 43, Issue 1 , Pages 15-21 , January 2008

Intussusception in Children: Imaging Choices

  • Kimberly E. Applegate, MD, MS

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Kimberly E. Applegate, MD, MS, Indiana University Department of Radiology, Riley Hospital for Children, 702 Barnhill Drive, Room 1053, Indianapolis, IN 46202.

References 

  1. Parashar UD, Holman RC, Cummings KC, et al. Trends in intussusception-associated hospitalizations and deaths among US infants. Pediatrics. 2000;106:1413–1421
  2. Navarro O, Daneman A. Intussusception Part 3: diagnosis and management of those with an identifiable or predisposing cause and those that reduce spontaneously. Pediatr Radiol. 2004;34:305–312
  3. Daneman A, Navarro O. Intussusception Part 1: a review of diagnostic approaches. Pediatr Radiol. 2003;33:79–85
  4. Berlin L. Reducing the intussuscepted colon. AJR Am J Roentgenol. 1998;170:1161–1163
  5. Meier DE, Coln CD, Rescorla FJ, et al. Intussusception in children: international perspective. World J Surg. 1996;20:1035–1039discussion 1040
  6. Strouse PJ, DiPietro MA, Saez F. Transient small-bowel intussusception in children on CT. Pediatr Radiol. 2003;33:316–320Epub 2003 Feb 26
  7. Sargent MA, Babyn P, Alton DJ. Plain abdominal radiography in suspected intussusception: a reassessment. Pediatr Radiol. 1994;24:17–20
  8. Harrington L, Connolly B, Hu X, et al. Ultrasonographic and clinical predictors of intussusception. J Pediatr. 1998;132:836–839
  9. Beasley S. Intussusception. Pediatr Radiol. 2004;34:302–304
  10. Daneman A, Navarro O. Intussusception, Part 2: an update on the evolution of management. Pediatr Radiol. 2004;34:97–108
  11. West KW, Stephens B, Vane DW, et al. Intussusception: current management in infants and children. Surgery. 1987;102:704–710
  12. Del-Pozo G, Albillos JC, Tejedor D, et al. Intussusception in children: current concepts in diagnosis and enema reduction. Radiographics. 1999;19:299–319
  13. Del-Pozo G, Gonzalez-Spinola J, Gomez-Anson B, et al. Intussusception: trapped peritoneal fluid detected with US—relationship to reducibility and ischemia. Radiology. 1996;201:379–383
  14. Pracros JP, Tran-Minh VA, Morin de Finfe CH, et al. Acute intestinal intussusception in children (Contribution of ultrasonography (145 cases)). Ann Radiol (Paris). 1987;30:525–530
  15. Britton I, Wilkinson AG. Ultrasound features of intussusception predicting outcome of air enema. Pediatr Radiol. 1999;29:705–710
  16. Lagalla R, Caruso G, Novara V, et al. Color Doppler ultrasonography in pediatric intussusception. J Ultrasound Med. 1994;13:171–174
  17. Lam AH, Firman K. Value of sonography including color Doppler in the diagnosis and management of long standing intussusception. Pediatr Radiol. 1992;22:112–114
  18. Lim HK, Bae SH, Lee KH, et al. Assessment of reducibility of ileocolic intussusception in children: usefulness of color Doppler sonography. Radiology. 1994;191:781–785
  19. Henrikson S, Blane CE, Koujok K, et al. The effect of screening sonography on the positive rate of enemas for intussusception. Pediatr Radiol. 2003;33:190–193
  20. Shiels WE, Kirks DR, Keller GL, et al. John Caffey Award (Colonic perforation by air and liquid enemas: comparison study in young pigs). AJR Am J Roentgenol. 1993;160:931–935
  21. Shiels WE, Maves CK, Hedlund GL, et al. Air enema for diagnosis and reduction of intussusception: clinical experience and pressure correlates. Radiology. 1991;181:169–172
  22. Daneman A, Alton DJ, Ein S, et al. Perforation during attempted intussusception reduction in children—a comparison of perforation with barium and air. Pediatr Radiol. 1995;25:81–88
  23. Gu L, Alton D, Daneman A, et al. John Caffey Award (Intussusception reduction in children by rectal insufflation of air). AJR Am J Roentgenol. 1988;150:1345–1348
  24. Hadidi AT, El Shal N. Childhood intussusception: a comparative study of nonsurgical management. J Pediatr Surg. 1999;34(2):304–307
  25. Meyer JS, Dangman BS, Buonomo C, et al. Air and liquid contrast agents in the management of intussusception: a controlled, randomized trial. Radiology. 1993;188:507–511
  26. Applegate KE. Intussusception in children: evidence-based review and self-assessment module. AJR Am J Roentgenol. 2005;185:S175–S183(suppl 3)
  27. Sargent MA, Wilson BP. Are hydrostatic and pneumatic methods of intussusception reduction comparable?. Pediatr Radiol. 1991;21(5):346–349
  28. Zambuto D, Bramson RT, Blickman JG. Intracolonic pressure measurements during hydrostatic and air contrast barium enema studies in children. Radiology. 1995;196:55–58
  29. Armstrong EA, Dunbar JS, Graviss ER, et al. Intussusception complicated by distal perforation of the colon. Radiology. 1980;136:77–81
  30. Blane CE, DiPietro MA, White SJ, et al. An analysis of bowel perforation in patients with intussusception. J Can Assoc Radiol. 1984;35:113–115
  31. Daneman A, Alton DJ, Lobo E, et al. Patterns of recurrence of intussusception in children: a 17-year review. Pediatr Radiol. 1998;28:913–919
  32. Mercer S, Carpenter B. Mechanism of perforation occurring in the intussuscipiens during hydrostatic reduction of intussusception. Can J Surg. 1982;25:481–483
  33. McAlister WH. Intussusception: even Hippocrates did not standardize his technique of enema reduction. Radiology. 1998;206:595–598
  34. Hernanz-Schulman M, Foster C, Maxa R, et al. Experimental study of mortality and morbidity of contrast media and standardized fecal dose in the peritoneal cavity. Pediatr Radiol. 2000;30:369–378
  35. Ein SH. Recurrent intussusception in children. J Pediatr Surg. 1975;10:751–755
  36. Champoux AN, Del Beccaro MA, Nazar-Stewart V. Recurrent intussusception. Arch Pediatr Adolesc Med. 1994;148:474–478
  37. Ein SH. Leading points in childhood intussusception. J Pediatr Surg. 1976;11:209–211
  38. Sfakianakis GN, Conway JJ. Detection of ectopic gastric mucosa in Meckel’s diverticulum and in other aberrations by scintigraphy. J Nucl Med. 1981;22:647–654
  39. Navarro O, Dugougeat F, Kornecki A, et al. The impact of imaging in the management of intussusception owing to pathologic lead points in children (A review of 43 cases). Pediatr Radiol. 2000;30:594–603
  40. Miller SF, Landes AB, Dautenhahn LW, et al. Intussusception: ability of fluoroscopic images obtained during air enemas to depict lead points and other abnormalities. Radiology. 1995;197:493–496

PII: S0037-198X(07)00061-2

doi: 10.1053/j.ro.2007.08.003

Seminars in Roentgenology
Volume 43, Issue 1 , Pages 15-21 , January 2008