title: [An easy, safe and affective method for the treatment of intussusception: ultrasound-guided hydrostatic reduction].
abstract: BACKGROUND
  Intussusception is one of the important causes of intestinal obstruction in children. Hydrostatic reduction under ultrasound guidance is a popular treatment method for intussusception. In the present study, we aimed to explain the demographic characteristics of and treatment approaches in patients diagnosed with intussusception by ultrasound.
  
  
  METHODS
  Forty-one patients diagnosed with intussusception by ultrasound between August 2011 and May 2013 were retrospectively analyzed. Twenty-four of these patients who had no contraindications had been treated with ultrasound-guided hydrostatic reduction.
  
  
  RESULTS
  Twenty-four of the patients were male and 17 were female, a 1.4/1 male-to-female ratio. The majority of the patients were between the ages of 6-24 months and 2-5 years. The mean age was 31.12±26.32 months (range 3-125). Patients were more frequently diagnosed in April and May. Seventeen patients who had clinical contraindications enrolled directly for surgery. In 20 of the 24 patients who underwent ultrasound-guided hydrostatic reduction, reduction was achieved. Three experienced recurrence. In two of these patients, successful reduction was achieved with the second attempt. The remaining patient was enrolled for surgery. Hydrostatic reduction was performed 26 times on these 24 patients, and in 22, success was achieved (84.6%). No procedure-related complications occurred in the patients.
  
  
  CONCLUSIONS
  Ultrasound-guided hydrostatic reduction, with its high success rates and lack of radiation risk, should be the first choice therapeutic approach for children diagnosed with intussusception.
authors.affiliation: Department of Radiology, Kahramanmaraş Necip Fazıl City Hospital Gynecology-Obstetric and Pediatric Hospital Outbuilding, Kahramanmaraş, Turkey. esrabahadir@hotmail.com.
authors.forename: Fatma Esra Bahadır
authors.initials: FE
authors.lastname: Ülger
authors.affiliation: Department of Radiology, Kahramanmaraş Pazarcık State Hospital, Kahramanmaraş, Turkey.
authors.forename: Aykut
authors.initials: A
authors.lastname: Ülger
authors.affiliation: Department of Pediatric Surgery, Kahramanmaraş Necip Fazıl City Hospital Gynecology-Obstetric and Pediatric Hospital Outbuilding, Kahramanmaraş, Turkey.
authors.forename: Ali Erdal
authors.initials: AE
authors.lastname: Karakaya
authors.affiliation: Department of Radiology, Kahramanmaraş Necip Fazıl City Hospital Gynecology-Obstetric and Pediatric Hospital Outbuilding, Kahramanmaraş, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Tüten
authors.affiliation: Department of Pediatric Surgery, Kahramanmaraş Necip Fazıl City Hospital Gynecology-Obstetric and Pediatric Hospital Outbuilding, Kahramanmaraş, Turkey.
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Katı
authors.affiliation: Department of General Surgery, Kahramanmaraş Pazarcık State Hospital, Kahramanmaraş, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Çolak
mesh_terms: D002648:Child; 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; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D055815:Young Adult