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[Hydrostatic reduction of intestinal intussusception in children. Experience in 43 cases]
1Departamento de Radiología, Hospital Clínico Universidad Católica, Santiago.
Insights
Hydrostatic reduction is an effective treatment for pediatric intestinal intussusception, with a high success rate. This minimally invasive procedure offers a safe and recommended approach for this common childhood condition.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Intestinal intussusception is a common pediatric emergency, typically ileocolic and idiopathic.
- It most frequently affects children aged 6 months to 2 years.
Purpose of the Study:
- To evaluate the efficacy of hydrostatic reduction for pediatric intestinal intussusception.
- To report clinical experience with this non-operative intervention.
Main Methods:
- Hydrostatic reduction was attempted in 43 children diagnosed with intestinal intussusception.
- Patients ranged from 2 to 48 months of age.
Main Results:
- Successful hydrostatic reduction was achieved in 77% (33/43) of patients.
- 10 patients (23%) required surgery after partial reduction.
- Successful cases had shorter hospital stays (24-96 hours).
Conclusions:
- Hydrostatic reduction is a recommended, effective treatment for pediatric intestinal intussusception.
- The procedure's success rates align with international findings.
- It offers a minimally invasive alternative to surgery.
Background:
Intestinal intussusception, a medical emergency, is more commonly idiopathic and ileocolic and occurs with higher frequency in children aged 6 months to 2 years. Barium enema confirms the diagnosis and allows its hydrostatic reduction, that is the treatment of choice of this condition.
Aim:
To report our experience with hydrostatic reduction of intestinal intussusception in children.
Patients And Methods:
Hydrostatic reduction was attempted in 43 children with intestinal intussusception: 20 male, aged 2 to 48 months, that consulted at the Clinical Hospital of the Catholic University in Santiago.
Results:
Hydrostatic reduction was successful in 33 children (77%) that were discharged from the hospital 24 to 96 hours after the procedure. A partial reduction was achieved in 10 patients (23%) who required surgery and were discharged from the hospital 5 to 8 days after the procedure.
Conclusions:
Our results are similar to those reported abroad and allow the recommendation of hydrostatic reduction as the treatment of choice for intestinal intussusception.