Success with hydrostatic reduction of intussusception in relation to duration of symptoms

• Published in: Archives of disease in childhood Vol. 90; no. 10; pp. 1071 - 1072
• Main Authors: van den Ende, E D, Allema, J H, Hazebroek, F W J, Breslau, P J
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01.10.2005; BMJ; BMJ Publishing Group Ltd; BMJ Publishing Group LTD
• Subjects: Abdomen; Acute Disease; Biological and medical sciences; Care and treatment; Catheterization; Child; Child, Preschool; Children & youth; Colon - diagnostic imaging; Colon - physiopathology; duration of symptoms; Endosonography; Evaluation; Female; General aspects; Health aspects; Hospitals; Humans; Hydrostatic Pressure; hydrostatic reduction; Hydrostatics; Infant; Intestines; Intussusception; Intussusception - diagnostic imaging; Intussusception - physiopathology; Intussusception - therapy; Male; Medical sciences; Miscellaneous; Original; Patients; Prevention and actions; Prospective Studies; Public health. Hygiene; Public health. Hygiene-occupational medicine; recurrences; Signs and symptoms; Success; Symptomatology; Time Factors; Treatment Outcome; Ultrasonic imaging; Water; Young Children; Netherlands; Pediatrics; Symptomatology; Hydrostatics; Relation; Reduction; Intussusception; Duration; Achievement; Public health
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/adc.2004.066332

Background: It is widely believed that hydrostatic reduction of intussusception is less successful in children with prolonged symptoms prior to presentation. Aim: To prospectively evaluate success in relation to duration of symptoms. Methods: Prospective study in which children, regardless of symptom duration, underwent an attempt at hydrostatic reduction. Results: Of 113 children presenting with intussusception, 16 had peritonitis and required immediate laparotomy. A hydrostatic reduction was attempted in 97 and was successful in 77 (79%). There were 26 successful reductions with symptoms <12 hours (81%), 30 with symptoms for 12–24 hours (81%), and 21 with symptoms >24 hours (75%). Conclusion: The success rate with hydrostatic reduction was not significantly influenced by symptom duration.