StayCurrentMD · Reduction of intussusception with saline enema superior to air enema

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Video·Published Aug 2018Older

Reduction of intussusception with saline enema superior to air enema

With Dr. Alex Gibbons · hosted by Dr. Todd Ponsky

Part of Intussusception 8 items

Chapter 1 of 3 · Evidence & Research

Introduction

Introduction and presenter handoff

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What the experts said3 expert statements · 5 host summaries

Historical practice evolved from barium enemas under fluoroscopy to pneumatic reduction under fluoroscopy

ClinicalTodd Ponsky

This represents a potential game-changing approach that merits consideration for trial in the United States

OpinionTodd Ponsky

Saline enemas under ultrasound avoid fluoroscopy exposure

ClinicalAlex Gibbons

The study randomized 124 patients to either air contrast enema or hydrostatic enema under ultrasound guidance

Host summaryAlex Gibbons summarizing a resource · not cited in answers

Baseline characteristics were the same between groups except for shorter procedure time in the hydrostatic group

Host summaryAlex Gibbons summarizing a resource · not cited in answers

The primary outcome was success of non-operative management confirmed with post-procedure ultrasound

Host summaryAlex Gibbons summarizing a resource · not cited in answers

In the hydrostatic group, 96.77% of patients had successful reduction compared to 83.87% in the air contrast enema group

Host summaryTodd Ponsky summarizes what Dr. Alex Gibbons said · not cited in answers

Under all measured parameters, ultrasound-guided saline enema was superior to traditional air enemas under fluoroscopy

Host summaryAlex Gibbons summarizing a resource · not cited in answers