Reduction of intussusception by ultrasound-guided saline enema.
There were 59 cases with 62 episodes of sonogram-proven intussusception between July 1990 and November 1995 at the Department of Pediatrics of the Pingtung Christian Hospital. Except 2 episodes transferred and 4 episodes which reduced spontaneously, ultrasound-guided saline enema was performed in 56 episodes. The whole procedure was monitored and adequately controlled by real-time sonography. Fifty-one of 56 episodes of intussusception were successfully reduced with no complication. The overall success rate was 91.1%. Among the five failed cases, reduction with barium enema had been tried in four at another hospital; one had succeeded but three failed. Because of absence of radiation exposure, easy observation of the patient's condition during the procedure, as well as high success rate, ultrasound-guided saline enema may be one of the most promising methods useable in nonoperative treatment of intussusception.
Soun
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Department of Pediatrics, 815th Military Hospital, Pingtung, Taiwan, R.O.C.
Choy
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PC
Tok
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Chiu
C Y
CY
D002648:Child; D002675:Child, Preschool; D004733:Enema; D005260:Female; D006801:Humans; D007223:Infant; D007443:Intussusception / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D012008:Recurrence; D012189:Retrospective Studies; D012965:Sodium Chloride / Q000008:administration & dosage*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*
D012965:Sodium Chloride