What is a common diagnostic and therapeutic maneuver for Intussusception?

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Air enemas are commonly used in the diagnosis and treatment of intussusception, particularly in pediatric patients. This method serves as both a diagnostic tool and a therapeutic intervention. When an air enema is performed, it not only helps to identify the presence of intussusception by revealing the characteristic signs on imaging but can also help to reduce the intussusception by using air to push the telescoped portion of the intestine back into its normal position. This non-invasive approach is preferred in many cases because it avoids the need for surgical intervention, which carries risks and may require a longer recovery period.

While surgical intervention is indeed a valid option, especially in cases that are complicated or do not respond to non-operative management, it is not the first-line approach for uncomplicated intussusception. Similarly, ultrasound-guided aspiration is not indicated for this condition, and while a CT scan is helpful for diagnosis in adults and sometimes in children, the air enema has the dual role of both diagnosing and treating intussusception effectively. Thus, opting for air enemas is in line with the preferred practice in managing intussusception in suitable cases.

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