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Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study

Ademola Olusegun Talabi1, Olusola Comfort Famurewa2, Kayode Taiwo Bamigbola3

  • 1Department of Surgery, Obafemi Awolowo University, P. O. BOX 5538, Ile-Ife, Osun State, Nigeria. ademolatalabi1608@gmail.com.

BMC Emergency Medicine
|November 23, 2018
PubMed

Insights

Ultrasound-guided hydrostatic reduction (USGHR) is a safe and effective treatment for childhood intussusception, reducing the need for surgery. This non-operative approach achieved an 84.4% success rate in Nigerian children.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Radiology

Background:

  • Childhood intussusception management in the sub-region relies on surgical intervention.
  • Non-operative reduction is the current gold standard for treating intussusception.
  • This study assesses the suitability of hydrostatic reduction for pediatric intussusception.

Purpose of the Study:

  • To evaluate the efficacy of ultrasound-guided hydrostatic reduction (USGHR) for childhood intussusception.
  • To compare USGHR with surgical intervention in terms of success rates and patient outcomes.
  • To determine if USGHR can be a primary treatment modality in a Nigerian tertiary hospital.

Main Methods:

  • Prospective study conducted from January 2016 to June 2017.
  • Included children with ultrasound-confirmed intussusception, excluding those with peritonitis or gangrene.
  • Ultrasound-guided hydrostatic reduction (saline enema) allowed up to three attempts.

Main Results:

  • Successful hydrostatic reduction achieved an 84.4% success rate.
  • No mortality was observed; 4.4% experienced perforation and 7.5% had recurrence.
  • USGHR led to a 68% decrease in operative reductions, with shorter admission durations for successful non-operative cases.

Conclusions:

  • Ultrasound-guided hydrostatic reduction (USGHR) is a suitable and effective alternative treatment for childhood intussusception.
  • USGHR significantly reduces the need for surgical intervention.
  • This method offers a favorable outcome with minimal complications in the studied population.
Abstract

Keywords:
Childhood intussusceptionHydrostatic reductionSalineUltrasound-guided

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