title: Hydrostatic reduction of acute intussusception. A prospective study.
abstract: Data were collected prospectively on 57 Jamaican children presenting with 62 episodes of acute intussusception over a two year period, for whom operative and hydrostatic methods of reduction were employed. 31 (54%) of 57 episodes were reduced successfully using barium (42), saline (11) and air (4) hydrostatically. Among the 31 other episodes, 15 had ileo-colic intussusception, seven caeco-colic, six ileo-ileo-colic and one ileo-ileal. Two patients had spontaneous reduction discovered at surgery. There were two episodes of barium hydrostatic perforation of the colon leading to death in one patient. Hydrostatic reduction is recommended as the first therapeutic option for acute intussusception because it spares the patient a major operative procedure when successful.
authors.affiliation: Department of Surgery, Radiology, Anaesthesia and Intensive Care, University of the West Indies, Mona, Jamaica.
authors.forename: N D
authors.initials: ND
authors.lastname: Duncan
authors.forename: W
authors.initials: W
authors.lastname: Dennis
authors.forename: V
authors.initials: V
authors.lastname: Reid
authors.forename: W
authors.initials: W
authors.lastname: West
authors.forename: S
authors.initials: S
authors.lastname: Venugopal
mesh_terms: D000208:Acute Disease; D001466:Barium Sulfate / Q000627:therapeutic use; D004733:Enema; D005260:Female; D006801:Humans; D006874:Hydrostatic Pressure; D007223:Infant; D007443:Intussusception / Q000209:etiology / Q000628:therapy*; D008297:Male; D011446:Prospective Studies; D012965:Sodium Chloride / Q000627:therapeutic use; D007507:Therapeutic Irrigation
chemical_list: D001466:Barium Sulfate; D012965:Sodium Chloride