title: Ultrasound-guided hydrostatic reduction of intussusception with saline: Safe and effective.
abstract: OBJECTIVE
  The study was undertaken to assess the efficacy of ultrasound-guided saline enema in reducing intussusception and to determine the role of age and duration of symptoms on this event.
  
  
  METHODS
  The case records of patients who were treated for intussusception at our institutions over the past 10 years were retrospectively analyzed. A total of 419 patients were treated for intussusception and 375 of them were included into the study. Patients were excluded if they had symptoms and signs of acute abdominal disease and required surgery as an initial treatment.
  
  
  RESULTS
  Hydrostatic reduction was successful in 313 of the 375 patients (83.46%). The procedure-related complication rate was nil. There were 29 episodes of recurrences in 23 patients, and recurrence rates did not differ between patients who responded to hydrostatic reduction and those who required surgery. Younger age [median (range); 11 months (3-108 months) vs. 20 months (1-180 months); p<0.05], rectal bleeding (p<0.01) and long duration of symptoms [mean (range); 1.95 days (1-7 days) vs. 1.44 days (1-10 days); p<0.01] were significantly associated with failed hydrostatic reduction.
  
  
  CONCLUSIONS
  Ultrasound-guided hydrostatic reduction is an easy, safe and effective method for the treatment of intussusception in the absence of acute abdominal findings.
authors: Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey. Electronic address: cakaradag@yahoo.com.
authors: Çetin Ali
authors: ÇA
authors: Karadağ
authors: Acıbadem University Faculty of Medicine, Department of Pediatric Surgery, Istanbul, Turkey.
authors: Latif
authors: L
authors: Abbasoğlu
authors: Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey.
authors: Nihat
authors: N
authors: Sever
authors: Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey.
authors: Meltem Kaba
authors: MK
authors: Kalyoncu
authors: Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey.
authors: Abdullah
authors: A
authors: Yıldız
authors: Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey.
authors: Melih
authors: M
authors: Akın
authors: Acıbadem Kadıköy Hospital, Department of Pediatric Surgery Istanbul, Turkey.
authors: Mustafa
authors: M
authors: Candan
authors: Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey.
authors: Ali İhsan
authors: Aİ
authors: Dokucu
mesh_terms: D002675:Child, Preschool; D004733:Enema / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007443:Intussusception / Q000000981:diagnostic imaging* / Q000628:therapy*; D008297:Male; D012007:Rectum; D012008:Recurrence; D012189:Retrospective Studies; D012965:Sodium Chloride / Q000008:administration & dosage*; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D012965:Sodium Chloride
keywords: Hydrostatic reduction; Intussusception; Saline enema; Ultrasound guidance