Nonoperative treatment of simple meconium ileus: A survey of the Society for Pediatric Radiology

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Abstract
To determine the practice pattern regarding nonoperative treatment of simple meconium ileus, a survey was sent to directors of 66 pediatric radiology departments in the USA and Canada. Thirty-nine responses were received reporting 1,236 patients. A wide variation of enema techniques and contrast media were used. While the success rate did not correlate with osmolality, mode of administration, catheter size, or perforation rate there was a significantly higher overall success rate with the use of Gastrografin versus no-Gastrografin (pp<0.00001). Perforation did not correlate with success rate, osmolality, or type of contrast medium. The only two instances of rectal perforations were associated with the use of ballon-tip catheter.