Hydrostatic Enema Under Ultrasonic Guidance for Meconium Related Ileus in Extremely Low Birth Weight Infants / 超低出生体重児の胎便関連性腸閉塞症に対する超音波ガイド下注腸療法の試み
- Resource Type
- Journal Article
- Authors
- Hiromu Miyake; Sadashige Uemura; Tatsuo Nakaoka; Tatsuyuki Yoshida; Terutaka Tanimoto; 三宅 啓; 中岡 達雄; 吉田 達之; 植村 貞繁; 谷本 光隆
- Source
- 日本小児外科学会雑誌 / Journal of the Japanese Society of Pediatric Surgeons. 2010, 46(1):53
- Subject
- extremely low birth weight infant
hydrostatic enema
meconium obstruction in prematurity
ultrasonic imaging
注腸療法
胎便関連性腸閉塞
超低出生体重児
超音波検査
- Language
- Japanese
- ISSN
- 0288-609X
2187-4247
A female extremely low birth weight (ELBW) infant presented with meconium related ileus (MRI) on her first day of life. We attempted a hydrostatic enema under ultrasonic guidance. The procedure was performed while the infant remained in an incubator. Four-fold attenuation of iopamidol was injected into her colon with 50 cmH_2O static pressure, and an ultrasonic imaging was performed concurrently. The imaging showed that the contrast media reached the ileum and advanced beyond the meconium plug. A roentgenogram showed the same appearance. The intestinal obstruction was reduced about 6 hours after the procedure. Ultrasonic imaging is useful for hydrostatic enema treatment for MRI in ELBW infants.