Related Experiment Videos

Success with hydrostatic reduction of intussusception in relation to duration of symptoms

E D van den Ende1, J H Allema, F W J Hazebroek

  • 1Red Cross and Juliana Children's Hospital, The Hague, Netherlands.

Archives of Disease in Childhood
|June 9, 2005
PubMed

Insights

Hydrostatic reduction for intussusception is effective regardless of symptom duration. This study found similar success rates for children with prolonged symptoms, challenging previous beliefs.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Intussusception is a common surgical emergency in children.
  • Hydrostatic reduction is a primary non-operative treatment method.
  • Previous assumptions suggested prolonged symptoms reduce hydrostatic reduction success.

Purpose of the Study:

  • To prospectively assess the success rate of hydrostatic reduction for intussusception.
  • To evaluate the impact of symptom duration on the efficacy of hydrostatic reduction.

Main Methods:

  • A prospective study was conducted on pediatric patients with intussusception.
  • Hydrostatic reduction was attempted in all eligible children, irrespective of symptom duration.
  • Success rates were analyzed based on the length of time symptoms were present.

Main Results:

  • Out of 113 children with intussusception, 16 required immediate surgery due to peritonitis.
  • Hydrostatic reduction was attempted in 97 children, achieving a 79% success rate (77/97).
  • Success rates were comparable across symptom durations: 81% for <12 hours, 81% for 12-24 hours, and 75% for >24 hours.

Conclusions:

  • Symptom duration does not significantly influence the success rate of hydrostatic reduction for intussusception.
  • This finding challenges the traditional belief that prolonged symptoms lead to lower success rates.
  • Hydrostatic reduction remains a viable and effective treatment option even with longer symptom histories.
Abstract

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are: