Diminishing role of contrast enema in simple meconium ileus

Journal of Pediatric Surgery
Daniel R CopelandSamuel D Smith

Abstract

Contrast enema is the initial study of choice for simple meconium ileus to confirm diagnosis and to relieve obstruction. Despite favorable historically published results, our clinical impression suggests decreased effectiveness of the contrast enema resulting in more surgical interventions in contemporary practice. A retrospective multiinstitutional review for a 12-year period was conducted for neonates diagnosed with meconium ileus by contrast enema. The neonates were divided into 2 groups-historic group (HG = before 2002) and contemporary group (CG = after 2002). T test was used for comparison of continuous variables and chi(2) for categorical data. Thirty-seven total patients were identified (21 females and 16 males). Obstruction was relieved in 8 neonates (22% overall success rate). Average enema attempt per patient was decreased in the CG group compared to HG (1.4 vs 1.9). The success rate in the CG group was 5.5% (1/18) compared to 39% (7/18) in HG. In this review, success of contrast enema for relief of meconium ileus has significantly decreased over time. These findings may be because of reluctance to repeat enemas, change in radiologist experience, or use of contrast agent. As a result, higher rates of operative interv...Continue Reading

References

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Citations

Apr 23, 2011·Pediatric Surgery International·A KarimiH A Heij
Nov 16, 2011·Italian Journal of Pediatrics·Valentina Filomena ParadisoAlessandro Calisti
Feb 18, 2014·Journal of Pediatric Surgery·Paul J FarrellyColin T Baillie
May 19, 2012·The Surgical Clinics of North America·David Juang, Charles L Snyder
Mar 31, 2012·The Journal of Surgical Research·Alex G CuencaSaleem Islam
Dec 18, 2020·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Shahnam AskarpourHazhir Javaherizadeh
Nov 19, 2020·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Shahnam AskarpourHazhir Javaherizadeh
Apr 2, 2021·Journal of Pediatric Surgery·Anna-May LongUNKNOWN BAPS-CASS
Apr 16, 2021·Radiología·C Sangüesa-Nebot, R Llorens-Salvador
Jul 30, 2019·Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society·Rita PadoanUNKNOWN Meconium Ileus Project Study Group

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