Nonoperative treatment of simple meconium ileus: a survey of the Society for Pediatric Radiology.
To determine the practice pattern regarding nonoperative treatment of simple meconium ileus, a survey was sent to directors of 66 pediatric radiology departments in the USA and Canada. Thirty-nine responses were received reporting 1,236 patients. A wide variation of enema techniques and contrast media were used. While the success rate did not correlate with osmolality, mode of administration, catheter size, or perforation rate, there was a significantly higher overall success rate with the use of Gastrografin versus non-Gastrografin (p < 0.00076) and the use of additives such as Tween-80 and Mucomyst versus techniques without additives (p < 0.00001). Perforation did not correlate with success rate, osmolality, or type of contrast medium. The only two instances of rectal perforations were associated with the use of balloon-tip catheter.
Kao
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SC
Department of Radiology, University of Iowa College of Medicine, Iowa City, USA.
Franken
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EA
D002170:Canada; D003287:Contrast Media; D003625:Data Collection; D003974:Diatrizoate Meglumine; D004733:Enema; D006801:Humans; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000628:therapy*; D007416:Intestinal Perforation / Q000453:epidemiology; D008470:Meconium; D010818:Practice Patterns, Physicians'; D011871:Radiology; D012955:Societies, Medical; D014481:United States
D003287:Contrast Media; D003974:Diatrizoate Meglumine