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Virtual Pediatric Hospital: Paediapaedia: Barium Enema for Intussusception Paediapaedia: Gastrointestinal Procedure Descriptions

Barium Enema for Intussusception

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Patient Preparation:
Patient needs to have been seen by pediatric surgery prior to enema

Contrast:
Barium or Hypaque

Technique:
Contraindications - peritonitis

Tip - regular.
Tape tip in securely.
Take a spot film to start.
Position the patient prone.
Gently fill the colon with barium from a bag hanging 3 feet above the fluoroscopy table.
Make 3 tries to reduce the intussusception, each lasting for 3 minutes.
Be sure to reflux the terminal ileum completely, otherwise you cannot be sure you have completely reduced the intussusception.

Views to Take:
Not applicable

References:
See References Chapter.

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