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Effectiveness and safety of ultrasound-guided hydrostatic reduction for children with acute intussusception
Heying Yang1, Guantao Wang1, Yi Ding1
1Pediatric surgery, 191599First Affiliated Hospital of Zhengzhou University.
Insights
New ultrasound-guided hydrostatic reduction is a safe and effective treatment for childhood intussusception. This method offers a higher success rate and shorter hospital stays compared to traditional pneumatic reduction, while avoiding radiation exposure.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Intussusception is a common surgical emergency in children.
- Nonsurgical reduction is the preferred treatment for acute intussusception.
- Traditional pneumatic reduction carries risks, including radiation exposure.
Purpose of the Study:
- To evaluate the effectiveness and safety of a novel ultrasound-guided hydrostatic reduction technique for pediatric acute intussusception.
- To compare this new method with conventional pneumatic reduction.
Main Methods:
- Retrospective analysis of clinical data from 364 children with primary acute intussusception.
- Comparison of outcomes between 119 patients who underwent hydrostatic reduction and 245 patients who underwent pneumatic reduction.
- Key outcome measures included reduction rate, length of hospital stay, and perforation rate.
Main Results:
- The hydrostatic reduction group demonstrated a significantly higher reduction rate (94.96%) compared to the pneumatic group (85.31%) (p=0.007).
- Patients in the hydrostatic group had a shorter hospital stay (2.76 days) versus the pneumatic group (3.56 days) (p=0.038).
- Even in cases with intussusception duration over 48 hours, hydrostatic reduction maintained a high success rate (95.45%).
Conclusions:
- Ultrasound-guided hydrostatic reduction is an effective and safe alternative for treating acute intussusception in children.
- This technique leads to improved reduction rates and reduced hospital stays.
- The method avoids radiation exposure, making it a preferable option for pediatric patients.
Objective:
This study aims to explore the effectiveness and safety of the new-type ultrasound-guided hydrostatic reduction for children with acute intussusception.
Methods:
The clinical data of 364 children with primary acute intussusception who underwent nonsurgical reduction in our hospital between January 2016 and May 2019 were retrospectively analyzed. Among the 364 children, 119 formed the hydrostatic reduction group. There were 89 males and 30 females, and the average age of admission was 25.13 ± 1.43 months. Among the pneumatic reduction group of 245 patients, there were 163 males and 82 females. The average age of admission was 22.47 ± 1.52 months. The reduction rate, length of stay, and perforation rate were compared between the two groups.
Results:
Univariate analysis showed that the reduction rate in the hydrostatic group (94.96%) was higher than in the pneumatic group (85.31%) (p = 0.007), and the hospital stay (2.76 ± 0.15 days) of the hydrostatic reduction group was shorter than that of the pneumatic reduction group (3.56 ± 0.35 days) (p = 0.038). In children with intussusception time >48 h, the reduction rate was 95.45% in the hydrostatic reduction group and 86.20% in the pneumatic reduction group.
Conclusion:
The new-type ultrasound-guided hydrostatic reduction has a higher reduction rate in the treatment of acute intussusception in children results in a shortened hospital stay, It is effective, safe, and avoids radiation exposure.
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