title: Success with hydrostatic reduction of intussusception in relation to duration of symptoms.
abstract: BACKGROUND
  It is widely believed that hydrostatic reduction of intussusception is less successful in children with prolonged symptoms prior to presentation.
  
  
  OBJECTIVE
  To prospectively evaluate success in relation to duration of symptoms.
  
  
  METHODS
  Prospective study in which children, regardless of symptom duration, underwent an attempt at hydrostatic reduction.
  
  
  RESULTS
  Of 113 children presenting with intussusception, 16 had peritonitis and required immediate laparotomy. A hydrostatic reduction was attempted in 97 and was successful in 77 (79%). There were 26 successful reductions with symptoms <12 hours (81%), 30 with symptoms for 12-24 hours (81%), and 21 with symptoms >24 hours (75%).
  
  
  CONCLUSIONS
  The success rate with hydrostatic reduction was not significantly influenced by symptom duration.
authors.affiliation: Red Cross and Juliana Children's Hospital, The Hague, Netherlands.
authors.forename: E D
authors.initials: ED
authors.lastname: van den Ende
authors.forename: J H
authors.initials: JH
authors.lastname: Allema
authors.forename: F W J
authors.initials: FW
authors.lastname: Hazebroek
authors.forename: P J
authors.initials: PJ
authors.lastname: Breslau
mesh_terms: D000208:Acute Disease; D002404:Catheterization; D002648:Child; D002675:Child, Preschool; D003106:Colon / Q000000981:diagnostic imaging / Q000503:physiopathology; D019160:Endosonography; D005260:Female; D006801:Humans; D006874:Hydrostatic Pressure; D007223:Infant; D007443:Intussusception / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014867:Water
chemical_list: D014867:Water