J Korean Radiol Soc.  1986 Oct;22(5):788-793. 10.3348/jkrs.1986.22.5.788.

Ultrasound guided reduction of childhood intussusception

• Yoon CH
• Kim HS

• KMID: 2462282
• DOI: http://doi.org/10.3348/jkrs.1986.22.5.788

Abstract

Following on from diagnosis using ultrasound, hydrostatic reduction using saline enema under ultrasoundguidance was tried in 20 cases of childhood intussusception. The conclusions were as follows: 1. Success rates ofsaline enema under ultrasound guidance during a frist-8 month period(P1) and a second 10 month period(P2) were55.6%(5/9) and 54.5%(6/11) respectively. Average succes rate was 55%(11/20). 2. During the periods of P1 and P2,no case was reduced by barium enema in 6 cases of failed reduction with saline enema. 3. During the period of P2, 5 cases of successful redution with saline enema were confirmed by clinical follow-up without barium enema. 4.During the periods of P1 and P2, 9 cases of failed reduction with saline enema were operated, resulting in 6 casesof segmental resection and 3 cases of manual reduction. 5. The obvious advantages of this method are: 1. Noradiation hazard. 2. No fear of barium peritonitis. 3. Detection of leading point. 6. With above results, thismethod could completely replace barium enema. And ultrasonography should be the initial study in the evaluation ofintussusception in children and then if necessary, saline enema under ultrasound guidance should be done.

MeSH Terms

Barium
Child
Diagnosis
Enema
Follow-Up Studies
Humans
Intussusception*
Methods
Peritonitis
Ultrasonography*
Barium