Hospital admission unnecessary for successful uncomplicated radiographic reduction of pediatric intussusception
Pediatric intussusception is often successfully treated with radiographic reduction techniques involving air or barium-contrast enema. Due to a small but serious risk of recurrence and need for surgical intervention, however, children are typically hospitalized for an observation period of one to two days after reduction —despite a lack of data to show that such observation affects long-term outcomes. The authors describe an alternative emergency department (ED) observation protocol which requires two to four hours of observation after successful reduction without fever, hemodynamic instability or oral fluid into leranc...
Source: The Journal of Emergency Medicine - February 1, 2018 Category: Emergency Medicine Authors: Tom Califf Tags: Abstract Source Type: research
Radiographic findings and clinical factors in dogs with surgically confirmed or presumed colonic torsion
Abstract
Colonic torsion is a life‐threatening condition in dogs and radiographic findings for this condition have not been well described. The purpose of this retrospective case series was to describe radiographic findings and clinical signs in a group of dogs with colonic torsion. Inclusion criteria were dogs presenting during the period of 2006 and 2016, and that had abdominal radiography and a surgically confirmed or presumed diagnosis of colonic torsion. For each dog, clinical data were recorded from medical records and imaging findings were recorded from retrieved plain radiographs and positive contrast radiographs...
Source: Veterinary Radiology and Ultrasound - January 23, 2018 Category: Veterinary Research Authors: Christine L. Gremillion, Mason Savage, Eli B. Cohen Tags: ORIGINAL INVESTIGATION Source Type: research
The ‘ins’ and ‘outs’ of intussusception: Where best practice reduces the need for surgery
Abstract
Intussusception may be difficult to diagnose because the classical triad of symptoms is evident at the time of presentation in only about 20% of cases. This may lead to delays in making the correct diagnosis. The most common presenting features are colicky abdominal pain, vomiting, pallor, lethargy and listlessness. In recent years, the algorithms of management of intussusception have changed significantly: a routine plain abdominal X‐ray has been replaced by ultrasonography, previously perceived contraindications to attempting an enema reduction no longer apply, gas has largely replaced barium for enema reducti...
Source: Journal of Paediatrics and Child Health - November 16, 2017 Category: Pediatrics Authors: Spencer W Beasley Tags: Original Article Source Type: research
Intestinal perforation: an unusual complication of barium enema
We report an unusual case of ischiofemoral impingement secondary to valgus intertrochanteric osteotomy. The osteotomy was performed for treatment of epiphysiolysis of the left femoral head.N ós relatamos um caso incomum de impacto isquiofemoral secundário a deformidade resultante de osteotomia intertrocantérica valgizante para tratamento de epifisiólise da cabeça do fêmur esquerdo. (Source: Radiologia Brasileira)
Source: Radiologia Brasileira - November 6, 2017 Category: Radiology Source Type: research
Appendiceal Intussusception: A Diagnostic Challenge
Conclusion The mainstay of clinical presentation is intermittent abdominal pain while patients may be completely asymptomatic between attacks. Appendiceal intussusception may act as a leading point to ileocolic intussusception and is frequently concealed by it. The treatment is appendectomy. Both pediatric surgeons and radiologists should be aware of this occurrence to provide adequate management and avoid complications. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - July 25, 2017 Category: Surgery Authors: Samuk, Inbal Nica, Adriana Lakovski, Yaniv Freud, Enrique Tags: Original Article Source Type: research
Novel ultrasound finding of a fetus with Hirschsprung ’s disease: A caliber change sign
In Hirschsprung ’s disease, failure of the migration of neural crest cells during fetal development causes an aganglionic segment of the colon. The aganglionic segment fails to relax, whereas its proximal portion becomes dilated. Barium enema after birth effectively illustrates this morphology: the intestinal cal iber abruptly changes, referred to as a colon “caliber change”. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - June 8, 2017 Category: OBGYN Authors: Hironori Takahashi, Daisuke Matsubara, Shigeru Ono, Noriko Hirose, Shigeki Matsubara Tags: Correspondence Source Type: research
Oral administration of barium sulfate reduces radiation exposure to the large intestine during alpha therapy with radium-223 dichloride
Conclusion: We demonstrated that our strategy with BaSO4 was effective to reduce radiation exposure to the large intestine during 223RaCl2 therapy. This method could be useful to reduce adverse events on 223RaCl2 therapy. Research Support: (Source: Journal of Nuclear Medicine)
Source: Journal of Nuclear Medicine - May 24, 2017 Category: Nuclear Medicine Authors: Hanadate, S., Washiyama, K., Yoshimoto, M., Matsumoto, H., Tsuji, A., Higashi, T., Yoshii, Y. Tags: Oncology: Basic, Translational & amp; Therapy (Basic Science) Posters Source Type: research
An Unusual Diagnosis that Started with Abdominal Pain
BY BILLY ZHANG; KRISTEN HUGHES; SHAMIM KHAN, MD; FRANCISCO JACOME, MDA 51-year-old woman presented to the emergency department with severe mid-abdominal pain that had begun early that morning and progressively worsened. The patient also reported having loose bloody stools, bouts of nausea, and several episodes of vomiting yellow bilious fluid.Her medical history was negative for similar episodes. Past medical history was significant for asthma, gastroesophageal reflux disease, hyperlipidemia, hypertension, colonic polyps, constipation, and thyroid disease. Surgical history included cholecystectomy, C-section, and N...
Source: The Case Files - May 23, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: research
Robotic repair of a right-sided Bochdalek hernia: a case report and literature review
ConclusionCongenital diaphragmatic hernias usually present in the neonatal period and are rare in adults. Operative repair is recommended and laparoscopic repair has been described. Based on the existing literature regarding laparoscopic repair and the current case report, robotic repair also appears to be a viable and safe option. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - May 12, 2017 Category: Surgery Source Type: research
Intussusception in Infants and Children: A Review of 60 Cases
In conclusion, it appears that failure to diagnose intussusception in the first 24 hours will decrease the successful rate of hydrostatic reduction and increase the need for surgical intervention and the period of hospitalization. Barium enema reduction is the treatment of choice in all cases unless contraindicated. The clinical pattern of intussusception in this part of the world is more or less the same as in other countries.Ann Saudi Med 1995;15(3):205-208. (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 5, 2017 Category: Journals (General) Tags: ISSUE 3 Source Type: research
Tu1419 Shaking Off the Shackles of Fluoroscopy - Evolving From Standard ERCP to Radiation-Free Endoscopic Retrograde Cholangioscopy (RF-ERC)
Over past decades, radiological studies for the GI tract such as barium meal and enema have largely been replaced by endoscopy and colonoscopy. The final major frontier in the GI lumen, where endoscopy is not yet the primary modality for diagnosis and therapy, is the bile duct. ERCP remains a hybrid endoscopic-fluoroscopic procedure, which limits its portable delivery, creates delays due to non-availability of fluoroscopy rooms and exposes patients and providers to radiation. Cholangioscopy may, in select patient groups, permit pure endoscopic, radiation-free management of biliary disease. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - April 28, 2017 Category: Gastroenterology Authors: Monique T. Barakat, Mohit Girotra, Abhishek Choudhary, Robert J. Huang, Saurabh Sethi, Subhas Banerjee Tags: Tuesday – ASGE poster Source Type: research
Precipitating Pathology in Childhood Intussusception: A Report of 19 Cases From Kuwait and Review of the Literature
From January 1977 to December 1986, 244 episodes of intussusception in 233 patients were treated in Ibn Sina Hospital, Kuwait. Nineteen patients (7.9%) had a definite pathologic lesion (a " leading point " ). Nine of these 19 patients (47.3%) were over 2 years old as compared to only 16 of 244 (6.6%) in the whole series. No particular leading point occurred more frequently than any other. Fifteen of these leading points were in the small gut and only four in the large gut. Preoperative therapeutic barium enema was attempted and failed in six cases. All 19 patients were operated on. There were 11 ileocolic, four ileoileal, ...
Source: Annals of Saudi Medicine - April 11, 2017 Category: Journals (General) Tags: ISSUE 2 Source Type: research
A comparison of the localization of rectal carcinomas according to the general rules of the Japanese classification of colorectal carcinoma (JCCRC) and Western guidelines
ConclusionRa and Rb cancers are deemed to be rectal cancers according to NCCN guidelines, but these classifications are not interchangeable with mid- and low-rectal cancers, respectively, according to the ESMO guidelines. (Source: Surgery Today)
Source: Surgery Today - March 6, 2017 Category: Surgery Source Type: research
Comparative Effectiveness of Imaging Modalities for the Diagnosis and Treatment of Intussusception
Conclusions The best available evidence recommends ultrasound as the diagnostic modality of choice for the diagnosis of ileocolic intussusception in children. In stable children without signs of peritonism, nonoperative reduction is the treatment of choice. Pneumatic (gas) reduction enema has been shown to be superior to hydrostatic (liquid) enema reduction. (Source: Academic Radiology)
Source: Academic Radiology - March 3, 2017 Category: Radiology Source Type: research
