文章基本信息

标题：Ultrasound- guided Hydrostatic (Hydrocolonic) Treatment of Meconium Ileus: A Preliminary Report
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作者：Seyed Ali Alamdaran ; Ahmad Mohamadipour ; Marjan Joodi 等
期刊名称：International Journal of Pediatrics
印刷版ISSN：2345-5047
电子版ISSN：2345-5055
出版年度：2018
卷号：6
期号：8
页码：8111-8118
DOI：10.22038/ijp.2018.32067.2835
语种：English
出版社：Mashhad University of Medical Sciences
其他摘要：Background Meconium ileus (MI) is one type intestinal obstruction due to inspissated meconium at the level of the terminal ileum. The purpose of this study is to present the non-ionizing ultrasound-guided approach for the treatment of meconium ileus. Materials and Methods This study was performed, prospectively, at Dr. Sheikh and Akbar children's Hospitals, Mashhad University of Medical Science (Mashhad city, Iran) from March 2017 to March 2018. The 21 newborn patients with suspicious meconium ileus were referred to Radiology department for contrast enema and ultrasound examination. The hydro colonic ultrasound-guided treatment was considered for four cases with simple form of meconium ileus. Ultimately, plain abdominal radiography was taken to documentation of entrance of solution to dilated proximal loop and evaluation of probable complications. Results: In ultrasound exam, air bubbles are floating in fluids on proximal dilated loops, and no air is seen in bowel loops contain inspissated meconium. Ultrasound showed a collapsed microcolon in addition to inspissated meconium as a hypoechoic beaded intraluminal material in comparison to adjacent bowel mucosa. During ultrasound-guided enema, overt distention of unused colon and ileum was seen with coating and detachment of meconium plaques from bowel wall and floating and movement of the plaques toward the dilated proximal loops. The successful treatment in our study was occurred in two-third of cases. Conclusion Ultrasound-guided hydrostatic (hydro colonic) treatment can be a non-ionizing nonsurgical procedure for successful treatment of newborns with uncomplicated meconium ileus.
其他关键词：Meconium ileus; Neonate; Treatment; Ultrasound-guided