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[An easy, safe and affective method for the treatment of intussusception: ultrasound-guided hydrostatic reduction]
Fatma Esra Bahadır Ülger1, Aykut Ülger2, Ali Erdal Karakaya3
1Department of Radiology, Kahramanmaraş Necip Fazıl City Hospital Gynecology-Obstetric and Pediatric Hospital Outbuilding, Kahramanmaraş, Turkey. esrabahadir@hotmail.com.
Insights
Ultrasound-guided hydrostatic reduction is a safe and effective first-line treatment for pediatric intussusception, achieving an 84.6% success rate with no complications. This method offers a high success rate for intussusception reduction in children.
Area of Science:
- Pediatric gastroenterology
- Medical imaging
- Surgical interventions
Background:
- Intussusception is a significant cause of intestinal obstruction in children.
- Ultrasound-guided hydrostatic reduction is a common treatment for intussusception.
Purpose of the Study:
- To analyze demographic characteristics of intussusception patients.
- To evaluate treatment approaches for intussusception diagnosed via ultrasound.
Main Methods:
- Retrospective analysis of 41 pediatric patients diagnosed with intussusception via ultrasound (August 2011 - May 2013).
- Twenty-four patients without contraindications underwent ultrasound-guided hydrostatic reduction.
Main Results:
- The majority of patients were male (1.4:1 ratio) and aged 6-24 months or 2-5 years.
- Ultrasound-guided hydrostatic reduction achieved an 84.6% success rate (22 out of 26 procedures).
- No procedure-related complications were observed; 17 patients with contraindications underwent surgery.
Conclusions:
- Ultrasound-guided hydrostatic reduction is a highly successful therapeutic approach for pediatric intussusception.
- This method should be the primary treatment due to its high success rate and absence of radiation risk.
Background:
Intussusception is one of the important causes of intestinal obstruction in children. Hydrostatic reduction under ultrasound guidance is a popular treatment method for intussusception. In the present study, we aimed to explain the demographic characteristics of and treatment approaches in patients diagnosed with intussusception by ultrasound.
Methods:
Forty-one patients diagnosed with intussusception by ultrasound between August 2011 and May 2013 were retrospectively analyzed. Twenty-four of these patients who had no contraindications had been treated with ultrasound-guided hydrostatic reduction.
Results:
Twenty-four of the patients were male and 17 were female, a 1.4/1 male-to-female ratio. The majority of the patients were between the ages of 6-24 months and 2-5 years. The mean age was 31.12±26.32 months (range 3-125). Patients were more frequently diagnosed in April and May. Seventeen patients who had clinical contraindications enrolled directly for surgery. In 20 of the 24 patients who underwent ultrasound-guided hydrostatic reduction, reduction was achieved. Three experienced recurrence. In two of these patients, successful reduction was achieved with the second attempt. The remaining patient was enrolled for surgery. Hydrostatic reduction was performed 26 times on these 24 patients, and in 22, success was achieved (84.6%). No procedure-related complications occurred in the patients.
Conclusion:
Ultrasound-guided hydrostatic reduction, with its high success rates and lack of radiation risk, should be the first choice therapeutic approach for children diagnosed with intussusception.
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