title: [Intussusception in infancy and childhood: Radiological and surgical management].
abstract: Ileocolic intussusception in infants and children requires emergency treatment and has a very good prognosis. Abdominal ultrasonography imaging has a high sensitivity and specificity in its detection. Management of ileocolic intussusceptions now requires fewer surgical procedures because interventional radiology is usually efficient. Surgery (laparoscopy or laparotomy) is reserved for failed radiological reductions and advanced or immediately complicated intussusceptions (pneumoperitoneum, acute peritonitis, shock). Radiology teams have two reduction techniques: hydrostatic barium enema under fluoroscopic or sonographic guidance and air enema under fluoroscopic guidance. The superiority of one radiological reduction technique over the other cannot be asserted, and the choice depends on experience and available equipment. Current management of intussusceptions should be performed by pediatric radiology, anesthesiology and surgery teams.
authors.affiliation: Service de chirurgie pédiatrique, hôpital des Enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France. Electronic address: bouali.o@chu-toulouse.fr.
authors.forename: O
authors.initials: O
authors.lastname: Bouali
authors.affiliation: Service de chirurgie pédiatrique, hôpital des Enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Mouttalib
authors.affiliation: Service de radiologie pédiatrique, hôpital des Enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: J
authors.initials: J
authors.lastname: Vial
authors.affiliation: Service de chirurgie pédiatrique, hôpital des Enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Galinier
mesh_terms: D002648:Child; D003663:Decision Trees; D006801:Humans; D007223:Infant; D007443:Intussusception / Q000000981:diagnostic imaging* / Q000601:surgery* / Q000628:therapy; D011859:Radiography