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Ultrasound guided hydrostatic reduction of intussusception in children at Korle Bu Teaching Hospital: an initial
Y Mensah1, H Glover-Addy, V Etwire
1Department of Radiology, Korle Bu Teaching Hospital, P. O. Box KB 77, Korle Bu, Accra, Ghana. ybmensah@yahoo.com
Insights
Ultrasound-guided hydrostatic reduction is an effective treatment for intussusception in infants and toddlers. This minimally invasive procedure offers a simple, quick, and economical solution for bowel obstruction.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Intussusception, a common cause of bowel obstruction in children, involves the telescoping of intestine.
- Traditional management often requires surgical intervention.
Purpose of the Study:
- To evaluate the efficacy of sonography-guided hydrostatic reduction for intussusception.
- To assess the safety and efficiency of this minimally invasive technique.
Main Methods:
- Sonography was used to guide hydrostatic reduction using tap water, normal saline, or Ringer's lactate.
- The procedure was performed on twenty intussusceptions in eighteen pediatric patients over nine months.
Main Results:
- Successful reduction was achieved in 75% of cases (15 out of 20).
- The procedure duration ranged from 2 to 30 minutes, with most completed under 10 minutes.
- Failure to reduce occurred in 25% of cases (5 out of 20).
Conclusions:
- Sonography-guided hydrostatic reduction is a simple, efficient, economical, and quick method for managing pediatric intussusception.
- This technique demonstrates a high success rate and is a viable alternative to surgery.
Abstract:
Intussusceptions is the telescoping or invagination of a portion of intestine (intussusceptum) into an adjacent segment (intussuscipiens). It is one of the common causes of bowel obstruction in infants and toddlers.Sonography has now been accepted as a method for guiding hydrostatic reduction of intussusception with tap water, normal saline or Ringer's lactate solution. This method is currently being used at Korle Bu Teaching Hospital. It is a very simple, efficient, economical and quick method of managing intussusception. The duration of the procedure ranges between two minutes and thirty minutes, with the majority being under ten minutes. A total of twenty intussusceptions were managed in eighteen patients over a nine month period. In fifteen patients (75%) the intussusception was reduced successfully. In five patients (25%), the procedure failed to reduce the intussusceptions.
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