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Information Journal Paper

Title

Ultrasound Guided Hydrostatic Treatment of Meconium Ileus; another Indication for Ultrasound Based Approach to Bowel Obstruction

Pages

  11737-11742

Abstract

 The inspissated meconium pellets are a cause or effect of ileocolic obstructions. The present study aimed at explaining our experience of Ultrasound-based approach for differentiation and Treatment of the inspissated meconium pellets. This study was conducted at Mashhad University of Medical Sciences, Mashhad, Iran, from 2017-2020. Twenty-four neonates (less than 8 days) with inspissated meconium pellets were examined using Ultrasound. Moreover, in cases with non-complicated inspissated meconium pellets, Ultrasound-guided contrast enema was performed for confirmation of the diagnosis or probable Treatment. In Ultrasound, the inspissated meconium pellets were observed as uniform hypo-to hyper-echoic tubular or beaded intra-luminal material in ileocolic loops or rectosigmoid area. These pellets were in five states: simple Meconium ileus, localized or generalized meconium, small bowel, meconium plug syndrome, and Hirschsprung's disease. During contrast enema in non-complicated Meconium ileus, moving and floating of inspissated meconium pellets was observed during Ultrasound scanning, while this issue was not observed in small bowel atresia. The success rates of the hypertonic contrast enema in patients with simple Meconium ileus were 80%. The inspissated meconium pellets have an Ultrasound appearance. They are mainly observed in patients with simple and complicated meconium obstructions and bowel atresia. Except in complicated meconium obstructions, the Ultrasound-guided contrast enema was performed for their differentiation and probable Treatment.

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    APA: Copy

    ALAMDARAN, SEYED ALI, Mohammadipour, Ahmad, AZADMAND, ALI, SHOJAEIAN, REZA, & Arabi Moghadam, Halime sadat. (2020). Ultrasound Guided Hydrostatic Treatment of Meconium Ileus; another Indication for Ultrasound Based Approach to Bowel Obstruction. INTERNATIONAL JOURNAL OF PEDIATRICS, 8(8 (80)), 11737-11742. SID. https://sid.ir/paper/774423/en

    Vancouver: Copy

    ALAMDARAN SEYED ALI, Mohammadipour Ahmad, AZADMAND ALI, SHOJAEIAN REZA, Arabi Moghadam Halime sadat. Ultrasound Guided Hydrostatic Treatment of Meconium Ileus; another Indication for Ultrasound Based Approach to Bowel Obstruction. INTERNATIONAL JOURNAL OF PEDIATRICS[Internet]. 2020;8(8 (80)):11737-11742. Available from: https://sid.ir/paper/774423/en

    IEEE: Copy

    SEYED ALI ALAMDARAN, Ahmad Mohammadipour, ALI AZADMAND, REZA SHOJAEIAN, and Halime sadat Arabi Moghadam, “Ultrasound Guided Hydrostatic Treatment of Meconium Ileus; another Indication for Ultrasound Based Approach to Bowel Obstruction,” INTERNATIONAL JOURNAL OF PEDIATRICS, vol. 8, no. 8 (80), pp. 11737–11742, 2020, [Online]. Available: https://sid.ir/paper/774423/en

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