Success with hydrostatic reduction of intussusception in relation to duration of symptoms.
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.
van den Ende
E D
ED
Red Cross and Juliana Children's Hospital, The Hague, Netherlands.
Allema
J H
JH
Hazebroek
F W J
FW
Breslau
P J
PJ
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
D014867:Water