Childhood intussusception: US-guided hydrostatic reduction.
Over a 30-month period, real-time ultrasound (US) was performed in 116 children with suspected intussusception. US findings were positive in all 75 cases of intussusception. Except in one case of transient small-bowel intussusception, the authors immediately attempted US-guided hydrostatic reduction in all cases. Reduction was successful in 63 cases (85%), as demonstrated with US and resolution of signs and symptoms of intussusception. Negative sonograms were confirmed with clinical follow-up. Among 11 failed cases, reduction with barium enema was attempted in six, but all attempts failed. No complications have occurred to date. The authors conclude that US is a reliable diagnostic screening modality in cases of suspected intussusception and that US-guided hydrostatic reduction is a promising technique in nonoperative treatment.
Wood
S K
SK
Department of Radiology, Keimyung University School of Medicine, Chungku, Taegu, Korea.
Kim
J S
JS
Suh
S J
SJ
Paik
T W
TW
Choi
S O
SO
D002648:Child; D002675:Child, Preschool; D004733:Enema; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*; D007223:Infant; D007443:Intussusception / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*; D008297:Male; D011446:Prospective Studies; D014463:Ultrasonography; D014867:Water
D014867:Water