title: Ultrasound-guided hydrostatic reduction of intussusceptions by saline enema: a review of 5218 cases in 17 years.
abstract: 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.
authors.affiliation: Department of Pediatric Surgery, 2nd Affiliated Hospital, China Medical University, No. 36 Sanhao St., Heping District, Shenyang 110004, PRC.
authors.forename: Yu Zuo
authors.initials: YZ
authors.lastname: Bai
authors.forename: Ri Bin
authors.initials: RB
authors.lastname: Qu
authors.forename: Guang Da
authors.initials: GD
authors.lastname: Wang
authors.forename: Ke Ren
authors.initials: KR
authors.lastname: Zhang
authors.forename: Yong
authors.initials: Y
authors.lastname: Li
authors.forename: Ying
authors.initials: Y
authors.lastname: Huang
authors.forename: Zhi Bo
authors.initials: ZB
authors.lastname: Zhang
authors.forename: Shu Cheng
authors.initials: SC
authors.lastname: Zhang
authors.forename: Hai Lan
authors.initials: HL
authors.lastname: Zhang
authors.forename: Xin
authors.initials: X
authors.lastname: Zhou
authors.forename: Wei Lin
authors.initials: WL
authors.lastname: Wang
mesh_terms: 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
chemical_list: D012965:Sodium Chloride