J Korean Soc Ultrasound Med.  2007 Sep;26(3):113-118.

Efficacy of US-guided Hydrostatic Reduction in Children with Intussusception

• Kim YM
• Chung TW
• Yoon W
• Chang NK
• Heo SH
• Shin SS
• Lim HS
• Jeong YY
• Kang HK

Abstract

PURPOSE: To assess the success rate and efficacy of US-guided hydrostatic reduction in children with intussusception.
MATERIALS and METHODS
We retrospectively evaluated the ultrasonographic findings and clinical features of 121 children (M:F=80:41, mean age= 18 months) who underwent US-guided hydrostatic reduction between November, 2002 and February, 2007 for the diagnosis and treatment of intussusception.
RESULTS
The 121 patients underwent 147 procedures, including recurred cases. Successful reduction was achieved in 132 cases (89.8% success rate), as confirmed by post-procedure ultrasonography and clinical findings. Emergency operations were performed in the 10 (6.8%) cases of irreducible intussusceptions, 8 of ileocolic type and 2 of ileoileal type. Perforation occurred in 4 cases (2.7%), and seizure in 1 case during the procedure (0.7%).
CONCLUSION
US-guided hydrostatic reduction is a safe and effective tool for the diagnosis and treatment of pediatric intussusception.

Keyword

Children; gastrointestinal tract; intussusception; ultrasonography

MeSH Terms

Child*
Diagnosis
Emergencies
Gastrointestinal Tract
Humans
Intussusception*
Retrospective Studies
Seizures
Ultrasonography