Document Detail

Perforation during hydrostatic reduction of intussusception: proposed mechanism and review of the literature.
MedLine Citation:
PMID:  1625128     Owner:  NLM     Status:  MEDLINE    
Eight cases of children with intussusception in whom the bowel perforated during attempts at enema reduction are reviewed. Certain features in each case suggest that perforation may not be secondary to increased intraluminal pressure from the enema, but that necrotic perforated bowel is uncovered as the intussusception is reduced. A review of the basis for recommendations about the height of the enema bag during attempted reduction suggests that these guidelines are largely arbitrary and lack scientific support.
R T Bramson; J G Blickman
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  27     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-08-11     Completed Date:  1992-08-11     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  589-91     Citation Subset:  IM    
Department of Radiology, Tampa General Hospital, FL.
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MeSH Terms
Colon / pathology,  surgery*
Colonic Diseases / complications,  pathology,  surgery*
Enema / adverse effects*
Hydrostatic Pressure / adverse effects
Intestinal Perforation / etiology*,  pathology
Intraoperative Care
Intraoperative Complications / etiology*,  pathology
Intussusception / complications,  pathology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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