The role of abdominal x-rays in the diagnosis and management of intussusception

D. S. Smith, W. A. Bonadio, J. D. Losek, C. M. Walsh-Kelly, H. M. Hennes, P. W. Glaeser, M. Melzer-Lange, A. A. Rimm

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

The management of intussusception requires early diagnosis and reduction with either barium enema or surgical intervention. Supine and erect abdominal radiographs are often obtained prior to ordering a barium enema. In many pediatric centers, the critical, initial interpretation of these radiographs is made by nonradiologists and, in most instances, by pediatric emergency physicians. We determined the sensitivity and specificity of abdominal radiographs in diagnosing intussusception when interpreted by these physicians. Six full-time pediatric emergency physicians evaluated 126 radiographs from 42 patients with intussusception, 42 in whom the disease was clinically suspected but ruled out, and 42 in whom the final radiology report was 'normal.' These were presented to pediatric emergency physicians in a blinded, randomized sequence without any additional clinical information. These physicians then identified patients for whom they would proceed to barium enema. The mean sensitivity was 80.5% (range, 71-93%), and the mean specificity was 58% (range, 48-69%). This compares favorably to the sensitivity of signs and symptoms, and we conclude that plain and upright abdominal films are a useful adjunct for the clinician evaluating patients for suspected intussusception.

Original languageEnglish (US)
Pages (from-to)325-327
Number of pages3
JournalPediatric Emergency Care
Volume8
Issue number6
StatePublished - 1992

Fingerprint

Intussusception
X-Rays
Physicians
Pediatrics
Emergencies
Motion Pictures
Radiology
Signs and Symptoms
Early Diagnosis
Sensitivity and Specificity
Barium Enema

ASJC Scopus subject areas

  • Emergency Medicine
  • Pediatrics, Perinatology, and Child Health
  • Nursing(all)

Cite this

Smith, D. S., Bonadio, W. A., Losek, J. D., Walsh-Kelly, C. M., Hennes, H. M., Glaeser, P. W., ... Rimm, A. A. (1992). The role of abdominal x-rays in the diagnosis and management of intussusception. Pediatric Emergency Care, 8(6), 325-327.

The role of abdominal x-rays in the diagnosis and management of intussusception. / Smith, D. S.; Bonadio, W. A.; Losek, J. D.; Walsh-Kelly, C. M.; Hennes, H. M.; Glaeser, P. W.; Melzer-Lange, M.; Rimm, A. A.

In: Pediatric Emergency Care, Vol. 8, No. 6, 1992, p. 325-327.

Research output: Contribution to journalArticle

Smith, DS, Bonadio, WA, Losek, JD, Walsh-Kelly, CM, Hennes, HM, Glaeser, PW, Melzer-Lange, M & Rimm, AA 1992, 'The role of abdominal x-rays in the diagnosis and management of intussusception', Pediatric Emergency Care, vol. 8, no. 6, pp. 325-327.
Smith DS, Bonadio WA, Losek JD, Walsh-Kelly CM, Hennes HM, Glaeser PW et al. The role of abdominal x-rays in the diagnosis and management of intussusception. Pediatric Emergency Care. 1992;8(6):325-327.
Smith, D. S. ; Bonadio, W. A. ; Losek, J. D. ; Walsh-Kelly, C. M. ; Hennes, H. M. ; Glaeser, P. W. ; Melzer-Lange, M. ; Rimm, A. A. / The role of abdominal x-rays in the diagnosis and management of intussusception. In: Pediatric Emergency Care. 1992 ; Vol. 8, No. 6. pp. 325-327.
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