Journal of Korean Society of Ultrasound in Medicine 2007;26(3): 113-118.
Efficacy of US-guided Hydrostatic Reduction in Children with Intussusception.
Young Min Kim, Tae Woong Chung, Woong Yoon, Nam Kyu Chang, Suk Hee Heo, Sang Soo Shin, Hyo Sun Lim, Yong Yeon Jeong, Heoung Keun Kang
Department of Radiology, Chonnam National University Hospital, Korea. twchung@jnu.ac.kr
  Published online: September 1, 2007.
ABSTRACT
PURPOSE: To assess the success rate and efficacy of US-guided hydrostatic reduction in children with intussusception. MATERIALS and METHODS: We retrospectively evaluated the ultrasonographic findings and clinical features of 121 children (M:F=80:41, mean age= 18 months) who underwent US-guided hydrostatic reduction between November, 2002 and February, 2007 for the diagnosis and treatment of intussusception. RESULTS: The 121 patients underwent 147 procedures, including recurred cases. Successful reduction was achieved in 132 cases (89.8% success rate), as confirmed by post-procedure ultrasonography and clinical findings. Emergency operations were performed in the 10 (6.8%) cases of irreducible intussusceptions, 8 of ileocolic type and 2 of ileoileal type. Perforation occurred in 4 cases (2.7%), and seizure in 1 case during the procedure (0.7%). CONCLUSION: US-guided hydrostatic reduction is a safe and effective tool for the diagnosis and treatment of pediatric intussusception.
Keywords: Children; gastrointestinal tract; intussusception; ultrasonography
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