Can a barium enema fix intussusception?
In addition, an air or barium enema can actually fix intussusception 90 percent of the time in children, and no further treatment is needed. A barium enema can't be used if the intestine is torn. Treatment of intussusception typically happens as a medical emergency.
What is intussusception and how is it treated?
The surgeon will free the portion of the intestine that is trapped, clear the obstruction and, if necessary, remove any of the intestinal tissue that has died. Surgery is the main treatment for adults and for people who are acutely ill. In some cases, intussusception may be temporary and go away without treatment.
How do you treat an enema in adults?
To treat the problem, your doctor may recommend: A barium or air enema. This is both a diagnostic procedure and a treatment. If an enema works, further treatment is usually not necessary. This treatment is highly effective in children, but rarely used in adults.
When is emergency medical care required for intussusception?
Emergency medical care is required to avoid severe dehydration and shock, as well as prevent infection that can occur when a portion of intestine dies due to lack of blood. Treatment options for intussusception may include:
How does an enema treat intussusception?
How Does an Air Enema Help with Intussusception? The enema uses air or a contrast material solution to create pressure within the intestine and "un-telescope" the intussusception while relieving the obstruction.
What is the treatment of choice for a child with intussusception?
Treatment. Intussusception is not usually immediately life-threatening. It can be treated with either a water-soluble contrast enema or an air-contrast enema, which both confirms the diagnosis of an intussusception, and in most cases successfully reduces it.
How is intussusception corrected?
Intussusception treatment In many cases, intussusception is corrected with an air enema. Your doctor will use a small tube to fill your child's rectum with air. The air pushes the folded intestine back into place. This clears the blockage.
Which of the following is a contraindication to the use of air contrast enema in the reduction of pediatric intussusception?
Contraindications for contrast enema evaluations include evidence of colonic perforation (unless being performed to assess for perforation), ischemic colon, toxic megacolon, hypovolemic shock, peritonitis, or other potentially unstable clinical condition.
What is commonly used to reduce intussusception?
The aim of enema therapy is to reduce the greatest number of intussusceptions without producing perforation. Barium, water-soluble contrast media, water, electrolyte solutions, or air may be used with radiographic or US guidance.
How do you manually reduce intussusception?
After inspection for signs of perforation, the intussusception is identified and delivered into the wound. First, an attempt is made at manual reduction by retrograde milking of the intussusceptum. Although gentle pulling may aid in reduction, avoid vigorous pulling apart of the intussuscepted segment of bowel.
How is intussusception treated in adults?
Surgery is the definitive treatment of adult intussusceptions. Formal bowel resection with oncological principles is followed for every case where a malignancy is suspected.
Can enema be given in intestinal obstruction?
Air or barium enema. This may be done for certain suspected causes of obstruction. During the procedure, the doctor will insert air or liquid barium into the colon through the rectum.
How is intussusception surgery done?
Air enema. An air enema is performed in the X-ray department by a radiologist. During the air enema, a small, soft tube is placed in the rectum and air is passed through it. The air travels into the intestines and attempts to unfold the bowel that has "telescoped," fixing the intussusception.
What is enema used for?
Enemas are injections of fluids used to cleanse or stimulate the emptying of your bowel. This procedure has been used for years to treat constipation and similar issues. Constipation is a severe condition that slows down the movement of your stool. It also makes the stool hard and difficult to excrete.
What is an enema with contrast?
A contrast enema is an x-ray study that uses a water-soluble contrast agent containing iodine or barium to show the structure of the rectum, colon, and large intestine. Contrast enemas are commonly referred to as barium enemas.
Why enema is contraindicated in appendicitis?
If you have symptoms of appendicitis, do not take enemas or laxatives to relieve constipation: These medicines increase the chance that the appendix will burst. Also, avoid taking pain-relief medicines before seeing your doctor, because these medications can mask appendicitis symptoms and make diagnosis difficult.
What is the treatment for intussusception?
Treatment options for intussusception may include: A water soluble contrast or air enema. This is both a diagnostic procedure and a treatment.
What is the best way to diagnose intestinal obstruction?
To confirm the diagnosis, your doctor may order: Ultrasound or other abdominal imaging. An ultrasound, X-ray or computerized tomography (CT) scan may reveal intestinal obstruction caused by intussusception. Imaging will typically show a "bull's-eye," representing the intestine coiled within the intestine. Abdominal imaging also can show ...
Can intestines be perforated?
If the intestine is torn (perforated), this procedure can't be used. Intussusception recurs up to 20% of the time, and the treatment will have to be repeated. It is important that a surgeon be consulted even if treatment with enema is planned. This is because of the small risk of a tear or rupture of the bowel with this therapy.
Is an air enema necessary?
A water soluble contrast or air enema. This is both a diagnostic procedure and a treatment. If an enema works, further treatment is usually not necessary. This treatment can actually fix intussusception 90% of the time in children, and no further treatment is needed.
Can intussusception go away?
Surgery is the main treatment for adults and for people who are acutely ill. In some cases, intussusception may be temporary and go away without treatment.