Ultrasound-guided hydrostatic reduction of intussusceptions by saline enema: a review of 5218 cases in 17 years.
BACKGROUND
The aim of this study was to evaluate the results of ultrasound (US)-guided hydrostatic reduction (UGSED) of intussusceptions in pediatric patients by saline enema.


METHODS
Five thousand two hundred eighteen pediatric patients with intussusceptions treated by UGSED from October 1985 to October 2002 were reviewed retrospectively.


RESULTS
The success rate of reduction in 5218 patients was 95.5%. Two hundred thirty-seven patients (4.5%) underwent surgery. Colonic perforation occurred in 9 patients (0.17%). Two infants suffered from milk aspiration because of vomiting during the hydrostatic enema reduction. There was no mortality.


CONCLUSIONS
UGSED of intussusceptions avoids radiation exposure. It is reliable and safe. It has high success rate and minimal complications. It is a perfect method for the nonoperative treatment of pediatric intussusception and can be widely used as routine therapy.
Bai
Yu Zuo
YZ
Department of Pediatric Surgery, 2nd Affiliated Hospital, China Medical University, No. 36 Sanhao St., Heping District, Shenyang 110004, PRC.
Qu
Ri Bin
RB
Wang
Guang Da
GD
Zhang
Ke Ren
KR
Li
Yong
Y
Huang
Ying
Y
Zhang
Zhi Bo
ZB
Zhang
Shu Cheng
SC
Zhang
Hai Lan
HL
Zhou
Xin
X
Wang
Wei Lin
WL
D002404:Catheterization; D002675:Child, Preschool; D003108:Colonic Diseases / Q000000981:diagnostic imaging* / Q000628:therapy*; D004733:Enema / Q000379:methods*; D005260:Female; D006801:Humans; D006874:Hydrostatic Pressure; D007223:Infant; D007443:Intussusception / Q000000981:diagnostic imaging* / Q000628:therapy*; D008297:Male; D012189:Retrospective Studies; D012965:Sodium Chloride / Q000008:administration & dosage*; D013813:Therapy, Computer-Assisted; D016896:Treatment Outcome; D014463:Ultrasonography
D012965:Sodium Chloride