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April 1966

Barium Enema for Intussusception in Infants and Children

Author Affiliations

From Methodist Hospital, Indianapolis.

Arch Surg. 1966;92(4):508-513. doi:10.1001/archsurg.1966.01320220064010

THIS PAPER deals with the place of barium enema in the diagnosis and treatment of intussusception in infants and children. It supports the contention that barium enema is indicated in any case of intussusception in which the patient is not desperately ill and that barium enema should be performed not only to substantiate diagnosis but for reduction as well.

Historical Review  At the turn of the century, such men as Monrad, Wichman, and Hirschsprung were debating the merits of dry versus wet taxis in the reduction of intussusception. Dry taxis meant the kneading of the intussusception out of the intussuscipiens and wet taxis meant reduction with water enema ("Wassereinspritzungen"). Some felt these measures could be undertaken at home, others felt they should be performed in a hospital. Concurrently, open surgical reduction was gaining acceptance. Then in 1927, almost simultaneously from France, Denmark, and the United States, the first use of

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