ULTRASOUND GUIDED HYDROSTATIC REDUCTION OF INTUSSUSCEPTION USING SALINE ENEMA IN PEDIATRIC POPULATION, DOES IT WORTH?

Document Type : Original Article

Authors

1 Radiology Department, Benha Childern Hospital

2 Lecturer of Diagnostic and Interventional Radiology, Faculty Of Medicine, Benha University, Egypt

3 Professor Of Diagnostic And Interventional Radiology Department, Faculty Of Medicine, Benha University, Egypt

Abstract

Background: Intussusception is an occlusive-strangulation form of intestinal obstruction, and all required precautions should be adopted as soon as possible to guarantee quick diagnosis and treatment in order to avoid intestinal ischaemia and necrosis. When facilities are available, nonoperative reduction is the first line of treatment; if that fails, operative management is the next logical step.
Aim of work: The purpose of this study is to see how successful and safe it is to reduce intussusception with normal saline enema under guidance of ultrasound.
Patients and methods: Our study comprised 37 children and was carried out at Benha Children's Hospital. Their ages varied from 4 to 36 months, with an 8-month median. Intussusceptions were diagnosed in all of them. Under ultrasound guidance, we used a sustained pressure of 100–120 cm H2O of saline enema per rectum and waited until the intussusceptum decreased or the retrograde movement ceased for up to 15 minutes.
Results: The successful reduction rate was 89.2%. However, the recurrence rate was 18.7%, with successful non-operative reduction of all recurred cases. Only two of them required additional scheduled surgery due to pathological lead points. In the series, no procedure-related problems occurred. There were also no deaths.
Conclusion: Because USGHR is a safe, effective procedure with a high success rate that does not require radiation exposure, we advocate it as the standard procedure and a suitable alternative to surgical surgery for managing paediatric intussusception.

Keywords

Files

Share

How to cite

Statistics