Efficacy of US-guided Hydrostatic Reduction in Children with Intussusception.
- Author:
Young Min KIM
1
;
Tae Woong CHUNG
;
Woong YOON
;
Nam Kyu CHANG
;
Suk Hee HEO
;
Sang Soo SHIN
;
Hyo Sun LIM
;
Yong Yeon JEONG
;
Heoung Keun KANG
Author Information
1. Department of Radiology, Chonnam National University Hospital, Korea. twchung@jnu.ac.kr
- Publication Type:Original Article
- Keywords:
Children;
gastrointestinal tract;
intussusception;
ultrasonography
- MeSH:
Child*;
Diagnosis;
Emergencies;
Gastrointestinal Tract;
Humans;
Intussusception*;
Retrospective Studies;
Seizures;
Ultrasonography
- From:Journal of the Korean Society of Medical Ultrasound
2007;26(3):113-118
- CountryRepublic of Korea
- Language:Korean
-
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.
