Ultrasound Guided Saline Hydrostatic Reduction: A Non-Surgical Procedure for the Management of Intussusception in Children ()
Suvarna Latha1,
P. M. Venkata Sai1,
R. K. Bagadi2
1Department of Radiology, Sri Ramachandra University, Porur, Chennai, India.
2Pediatric Surgery, Sri Ramachandra University, Porur, Chennai, India.
DOI: 10.4236/oalib.1100644
PDF
2,745
Downloads
4,074
Views
Citations
Abstract
Introduction: Intussusception is the most common cause of intestinal obstruction in infant & toddler age group. Intussusception is the telescoping of one segment of bowel into the contiguous distal segment. Peak age incidence is between 2 months to 3 years of life. Objective of the study: To prove the efficacy of Ultrasound guided saline hydrostatic reduction, a non surgical, non radiation method in the management of intussusception in children. Materials and methods: Fifty-three children in the age group of 2 months to 3 years with clinical diagnosis of intussusception on whom the Ultrasonogram (USG) guided hydrostatic reduction with normal saline were attempted. 500 - 1000 ml of normal saline was used for reduction. High resolution USG (7.5 MHz) was used to assess the progress of reduction during the procedure. Results: Our initial experience in the last six years from April 2007 to March 2013 showed successful reduction in 45 children out of 53 attempted reductions.
Share and Cite:
Latha, S. , Sai, P. and Bagadi, R. (2014) Ultrasound Guided Saline Hydrostatic Reduction: A Non-Surgical Procedure for the Management of Intussusception in Children.
Open Access Library Journal,
1, 1-7. doi:
10.4236/oalib.1100644.
Conflicts of Interest
The authors declare no conflicts of interest.
References
[1]
|
Applegate, K.E. Intussusception, Chapter 108, Caffey’s Pediatric Diagnostic Imaging. 12th Edition.
|
[2]
|
Bolia, A.A. (1985) Diagnosis and Hydrostatic Reduction off an Intussusception under Ultrasound Guidance—Case Report. Clinical Radiology, 36, 655-657. http://dx.doi.org/10.1016/S0009-9260(85)80269-5
|
[3]
|
Peh, W.C., Khong, P.L. and Chan, K.L. (1996) Sonographically Guided Hydrostatic Reduction of Childhood Intussusception Using Hartmann’s Solution. American Journal of Roentgenology, 167, 1237-1241.
http://dx.doi.org/10.2214/ajr.167.5.8911188
|
[4]
|
Fishman, M.C., Borden, S. and Cooper, A. (1984) The Dissection Sign of Nonreducible Ileocolic Intussusception. American Journal of Roentgenology (AJR), 143, 5-8. http://www.ncbi.nlm.nih.gov/pubmed/6610330
|
[5]
|
Kumar, K., Hameed, S. and Umamaheswari (2006) Ultrasound Guided Hydrostatic Reduction in the Management of Intussusception. The Indian Journal of Paediatrics, 73, 217-220.
|
[6]
|
Khong, P.L., Peh, W.C. and Lam, C.H. (2000) Ultrasound-Guided Hydrostatic Reduction of Childhood Intussusception: Technique and Demonstration. Radiographics, 20, 1818.
|
[7]
|
Manesh, Y., Glover-Addy, H. and Twire, V.E. (2011) Ultrasound Guided Hydrostatic Reduction of Intussusception in Children at Korle Bu Teaching Hospital, an Initial Experience. Ghana Medical Journal, 45, 128-131.
|