Related Experiment Videos
Childhood intussusception: US-guided hydrostatic reduction
1Department of Radiology, Keimyung University School of Medicine, Chungku, Taegu, Korea.
Insights
Real-time ultrasound (US) reliably diagnoses intussusception in children. US-guided hydrostatic reduction is a promising, successful treatment option, demonstrating high efficacy with no complications.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Imaging
- Minimally Invasive Procedures
Background:
- Intussusception is a common cause of intestinal obstruction in infants and children.
- Accurate and timely diagnosis is crucial for effective management.
- Ultrasound has emerged as a valuable tool for diagnosing intussusception.
Purpose of the Study:
- To evaluate the diagnostic accuracy of real-time ultrasound (US) in suspected pediatric intussusception.
- To assess the efficacy and safety of US-guided hydrostatic reduction as a primary treatment modality.
Main Methods:
- A prospective study involving 116 children with suspected intussusception over 30 months.
- Real-time ultrasound was used for diagnosis in all cases.
- US-guided hydrostatic reduction was attempted immediately in confirmed cases.
Main Results:
- Ultrasound correctly identified all 75 cases of intussusception.
- Successful hydrostatic reduction was achieved in 85% (63/75) of cases, confirmed by US and clinical resolution.
- Barium enema attempts failed in all six cases where US-guided reduction was unsuccessful.
Conclusions:
- Real-time ultrasound is a highly reliable diagnostic tool for pediatric intussusception.
- US-guided hydrostatic reduction is a safe and effective nonoperative treatment option.
- This technique shows promise for improving intussusception management outcomes.
Abstract:
Over a 30-month period, real-time ultrasound (US) was performed in 116 children with suspected intussusception. US findings were positive in all 75 cases of intussusception. Except in one case of transient small-bowel intussusception, the authors immediately attempted US-guided hydrostatic reduction in all cases. Reduction was successful in 63 cases (85%), as demonstrated with US and resolution of signs and symptoms of intussusception. Negative sonograms were confirmed with clinical follow-up. Among 11 failed cases, reduction with barium enema was attempted in six, but all attempts failed. No complications have occurred to date. The authors conclude that US is a reliable diagnostic screening modality in cases of suspected intussusception and that US-guided hydrostatic reduction is a promising technique in nonoperative treatment.