An easy, safe and affective method for the treatment of intussusception: ultrasound-guided hydrostatic reduction

• Published in: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES Vol. 20; no. 2; pp. 127 - 131
• Main Authors: Ülger, Fatma Esra Bahadır, Ülger, Aykut, Karakaya, Ali Erdal, Tüten, Fatih, Katı, Ömer, Çolak, Mustafa
• Format: Journal Article
• Language: Turkish
• Published: Turkey 01.03.2014
• Subjects: Child; Child, Preschool; Colonic Diseases - diagnostic imaging; Colonic Diseases - therapy; Enema - methods; Female; Humans; Hydrostatic Pressure; Infant; Intussusception - diagnostic imaging; Intussusception - therapy; Male; Recurrence; Retrospective Studies; Treatment Outcome; Ultrasonography, Interventional; Young Adult
• ISSN: 1306-696X
• DOI: 10.5505/tjtes.2014.37898

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. 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. 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. 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.