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Updated: Nov 12, 2025
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Ultrasound-guided hydrostatic reduction of ileo-colic intussusception in childhood: first-line management for both
Berat Dilek Demirel1, Sertac Hancıoğlu1, Basak Dağdemir1
1Department of Pediatric Surgery, Ondokuz Mayis University Medical Faculty, Samsun, Turkey.
Insights
Ultrasound-guided hydrostatic reduction is a safe and effective non-invasive treatment for childhood ileocolic intussusception. This method shows high success rates for both initial and recurrent cases, reducing the need for surgery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Intussusception is a common surgical emergency in children.
- Ileocolic intussusception requires prompt diagnosis and management.
- Non-invasive reduction techniques are preferred when feasible.
Purpose of the Study:
- To evaluate the efficacy and safety of ultrasound-guided hydrostatic reduction for ileocolic intussusception in pediatric patients.
- To assess the success rates in both primary and recurrent intussusception cases.
- To determine the recurrence rates following successful reduction.
Main Methods:
- Retrospective evaluation of children (<18 years) treated for ileocolic intussusception between January 2015 and December 2018.
- Analysis of patient demographics, clinical presentation, intussusception characteristics, and treatment outcomes.
- Focus on ultrasound-guided hydrostatic reduction as a primary or secondary treatment modality.
Main Results:
- 108 patients were included; 89 underwent hydrostatic reduction with a 13.5% failure rate requiring surgery.
- Successful reduction was achieved in most cases, with recurrence observed in 13% of patients (one episode) and 2.6% (two episodes).
- Ultrasound-guided hydrostatic reduction demonstrated success even in cases of recurrent intussusception.
Conclusions:
- Ultrasound-guided hydrostatic reduction is a highly successful, non-invasive treatment for pediatric ileocolic intussusception.
- The procedure is safe and effective for both initial presentations and recurrent episodes.
- This technique offers a valuable alternative to surgery, improving patient outcomes.
Objective:
To evaluate the results of ultrasonography-guided hydrostatic reduction in primary and recurrent ileo-colic intussusception in children.
Methods:
The children (<18 years of age) who were managed for ileo-colic intussusception between January 2015 and December 2018 were evaluated retrospectively. Age, gender, presenting complaints, length of the intussuscepted segment, presence of lead point, treatment modalities, recurrence rates and duration of recurrence were evaluated.
Results:
108 patients with ileo-colic intussusception were enrolled in the study; 59 were male and 49 were female with a mean age of 2.04 ± 1.71 years. Two patients underwent immediate surgery without any attempt of hydrostatic reduction. Nineteen patients (18%) were managed by conservative measures initially. Seventeen (89.5%) of them have recovered with expectant management and two patients required hydrostatic enema reduction during follow-up. In total, 89 patients underwent hydrostatic reduction; 48 were male and 41were female with a mean age of 1.9 ± 1.65 years. Twelve patients (13.5%) received surgery after failed hydrostatic reduction. In the patients with successful hydrostatic reduction, one more episode of intussusception is seen in 10 patients (13%) and 2 additional episodes in 2 (2.6%). Seven patients with relapse were male and 5 were female with a mean age of 1.16 ± 1.64 years. The median duration of the first relapse episode was 67.5 days (range 18-110 days). The ultrasound-guided hydrostatic reduction was also successful in patients with recurrence.
Conclusion:
Ultrasound-guided hydrostatic reduction is a non-invasive treatment of ileo-colic intussusception with high success rates in childhood. It can be performed safely in both initial and relapse episodes of intussusception.
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