Childhood intussusception: US-guided hydrostatic reduction.

Wood, Sara; Kim, J S; Suh, Seungmo; Paik, Tohyung; Choi, Seokhwa

doi:10.1148/radiology.182.1.1727313

Cited by 109 publications

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“…The principal advantage of this technique is that the patient is not exposed to radiation. Sonographically guided hydrostatic enema may be performed with tap water, 16 saline solution, 8 or Hartmann's solution. 17 Many investigators have confirmed that this method is associated with a high success rate and very few complications.…”

Section: Discussionmentioning

confidence: 99%

Sonographically guided hydrostatic reduction of intussusception in children

Crystal

Hertzanu

Farber

et al. 2002

J of Clinical Ultrasound

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Sonographically guided hydrostatic reduction of intussusception is safe and effective. We recommend that this method be attempted before surgery is considered, even in cases in which the intussusception contains entrapped fluid or is located in the left side of the abdomen. The level of experience of the radiologist who performs the reduction significantly affects the results of this procedure and should be carefully considered, particularly in cases in which initial sonography reveals the presence of risk factors.

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Section: Discussionmentioning

confidence: 99%

Sonographically guided hydrostatic reduction of intussusception in children

Crystal

Hertzanu

Farber

et al. 2002

J of Clinical Ultrasound

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“…Ultrasound was found to be a reliable diagnostic screening modality in suspected cases of intussusception and ultrasound guidance is a promising technique for therapeutic reduction of intussusception. 2,13 . Thirty-two of our patients (53%) had surgical intervention with simple reduction in 22 patients (68.8%) and resection and anastomosis in 10 patients (31.2%).…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] This paper studies the clinical presentation and management of intussusception as seen at Maternity and Children's Hospital in Riyadh over a period of 2.5 years in infants and children.…”

mentioning

confidence: 99%

“…1 Although barium enema is the standard method for the diagnosis and treatment, a new method of using air enema and ultrasound-guided hydrostatic reduction have been introduced with successful results. [2][3][4] This paper studies the clinical presentation and management of intussusception as seen at Maternity and Children's Hospital in Riyadh over a period of 2.5 years in infants and children.…”

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confidence: 99%

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Intussusception in Infants and Children: A Review of 60 Cases

Albassam

Orfale

1995

Annals of Saudi Medicine

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Sixty pediatric patients with intussusception seen at Maternity and Children's Hospital over 2.5 years were retrospectively reviewed. There were 33 males and 27 females ranging in age from 1.5 months to 108 months with a mean of 11.5 months. Seventeen patients (28.3%) presented more than 48 hours after their symptoms started. Vomiting was the most common symptom (93.3%) followed by rectal bleeding (71.6%) and abdominal pain (48.3%). The clinical signs included the presence of blood per rectal examination in 58.3% of patients and palpable mass in 46.6% of patients. Most intussusceptions were of ileocolic type (88%). Hydrostatic barium enema reduction was tried in 50 patients (83.3%) with an overall success rate of 56%. Fify-three percent of patients had surgical treatment for their intussusception. Ten patients (16.6%) required bowel resection. The leading point was identified in 10% of patients. Meckel's diverticulum was the most common finding. The average hospital stay was two to five days after barium reduction and seven days after surgical treatment. There were no deaths. One patient had perforation of the bowel during hydrostatic reduction and another had chest infection postoperatively. There were no recurrences in our series. In conclusion, it appears that failure to diagnose intussusception in the first 24 hours will decrease the successful rate of hydrostatic reduction and increase the need for surgical intervention and the period of hospitalization. Barium enema reduction is the treatment of choice in all cases unless contraindicated. Intussusception is one of the most common causes of intestinal obstruction in the first two years of life. In the majority of cases there is no underlying cause. The classical presentation of abdominal colic, abdominal mass, and passage of red currant jelly stool occur in only one-third of cases.1 Although barium enema is the standard method for the diagnosis and treatment, a new method of using air enema and ultrasound-guided hydrostatic reduction have been introduced with successful results. [2][3][4] This paper studies the clinical presentation and management of intussusception as seen at Maternity and Children's Hospital in Riyadh over a period of 2.5 years in infants and children. Material and MethodsThe medical records of 60 consecutive infants and children treated for intussusception at Maternity and Children's Hospital, Riyadh, over 2.5 years were studied. The diagnosis was confirmed radiologically and/or at surgery. The records of these patients were reviewed with respect to age, sex, nationality, hospital stay, month of admission, clinical presentation, investigation, mode of treatment, morbidity and mortality, underlying cause and incidence of recurrence.Barium enema for diagnostic and therapeutic purposes was performed in most of the patients. In our hospital, barium enema reduction was performed by introducing barium contrast through a Foley catheter placed into the rectum and secured by inflation of the catheter balloon and strapping of the buttocks. A colum...

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“…Ultrason eşliğinde ılık serum fizyolojikle redüksiyonda başarı %80 ve üzerinde olduğu bildirilmiştir. Kolay uygulanabilir olması ve hastanın radyasyona maruz kalmaması avantaj olarak vurgulanmıştır (23)(24)(25). Serum basıncı 75-125 mmHg arasında uygulanmıştır ve oluşan hidrostatik basıncın havanın basıncına göre daha düşük olması nedeniyle perforasyon riskinin az olacağı bildirilmiştir (26).…”

Section: Resimunclassified

Pneumatic reduction in the treatment of childhood intussusception cases

Korkmaz¹,

Yazgan²,

Budan³

et al. 2012

Gaziantep Med J

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ÖzetProksimal barsağın distal segment içerisine girmesi ile oluşan invajinasyon, çocuklarda akut batın nedenleri arasında apendisitten sonra ikinci sırada yer almaktadır. Çalışmamızda, invajinasyon nedeni başvuran hastalar ve pnömatik redüksiyon sonuçlarımız değerlendirilmiştir. Hastanemize 2007-2011 yılları arasında invajinasyon nedeniyle başvuran ve tedavi edilen hastaların, dosya ve operasyon kayıtları geriye dönük olarak incelendi. Çalışmamızda 13'ü erkek (%72,2), 5'i kız (%27,8) toplam 18 hasta değerlendirilmiştir. Olguların yaş ortalaması 20,36 aydır (6,5-95 ay). Hastaların en sık başvuru şikayetleri karın ağrısı, kusma, kanlı gaita yapma ve huzursuzluk olup, şikayetlerin başlangıcı 6-52 saattir. Tüm hastaların ultrasonografik incelemesinde invajinasyon bulgusu saptanmasına rağmen 8 (%44) hastanın batın muayenesinde kitle ele gelmiş. Hastaların 15'inde (%83,3) floroskopi eşliğinde pnömatik redüksiyon yapılmış, 3 (%16,7) hastada ise açık cerrahi yöntemle manüel redüksiyon yapılmıştır. Sonuç olarak, karın ağrısı ve kusma şikayetleri ile gelen çocuklarda sık yapılan batın ultrasonografisi, invajinasyonun erken tanısında etkili olmaktadır. Bu vakalarda, pnömatik redüksiyon ilk tedavi seçeneği olarak, kolay ve başarıyla uygulanabilir. Anahtar kelimeler: Çocuk; invajinasyon; pnömatik redüksiyon Abstract Intussusception that is defined as insertion of proximal intestine into distal segment is the second most common acute abdomen pathology after appendicitis. In this retrospective study, we evaluated the patients presented with intussusception and the results of pneumatic reduction. A retrospective analysis of files and operation logs of patients with intussusception from 2007 to 2011 were done. In this study, 13 male (72,2%) and 5 female (27,8%), totally 18 patients were analyzed. Mean age was 20,36 months (6,5-95 months). The most common clinical presentations were abdominal pain, vomiting, bloody stool and irritability and duration of complains were 6-52 hours. Although in all patients signs of intussusception were found on abdominal ultrasound examination, in 8 (44%) patients abdominal mass was detected on physical examination. In 15 (83,3%) patients pneumatic reduction was successfully performed and manual reduction was done in 3 (16,7%) patients. In conclusion, abdominal ultrasound that was performed in patients presented with abdominal pain and vomiting may affect the rate of early diagnosis of intussusception. In these patients, pneumatic reduction, as a first choice of treatment, can be carried out easily and successfully.

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Childhood intussusception: US-guided hydrostatic reduction.

Cited by 109 publications

References 0 publications

Sonographically guided hydrostatic reduction of intussusception in children

Sonographically guided hydrostatic reduction of intussusception in children

Intussusception in Infants and Children: A Review of 60 Cases

Pneumatic reduction in the treatment of childhood intussusception cases

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