Do radiologic studies correlate with each other and with surgical findings in intussusception?
In this research, we aimed to evaluate the accordance of radiologic study results with each other and with surgical findings with regard to presence and/or absence of intussusception. One hundred and seventy-nine patients treated for intussusception between 1993 and 2003 inclusive were retrospectively reviewed to compare results of initial ultrasonography, colonography, followup ultrasonography after conservative management (reduction with barium enema and/or air insufflation) and surgical findings to determine their accordance within each other with regard to diagnosis of intussusception. Results of initial ultrasonography were not in accordance with results of colonography. There was accordance between conservative management and follow-up ultrasonography results. Conservative management results were not in accordance with surgical findings. There was no accordance between followup ultrasonography results and surgical findings. Discordance of radiologic examination results with each other and with surgical findings indicates that intussusception is still a clinical diagnosis and clinical parameters deserve more importance in surgical decision-making. Radiologic examinations should be considered as complementary studies, not as definitive discriminators of childhood intussusception to achieve appropriate diagnosis and treatment.
Yalçin
Sule
S
Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Ciftçi
Arbay O
AO
Karaağaoğlu
Ergun
E
Haliloğlu
Mithat
M
Senocak
Mehmet E
ME
Tanyel
F Cahit
FC
Büyükpamukçu
Nebil
N
D002675:Child, Preschool; D003113:Colonoscopy; D005260:Female; D006801:Humans; D007223:Infant; D007443:Intussusception / Q000000981:diagnostic imaging* / Q000601:surgery* / Q000628:therapy; D008297:Male; D011859:Radiography; D015203:Reproducibility of Results; D012189:Retrospective Studies; D014463:Ultrasonography