Hydrostatic reduction of intussusception : barium, air, or saline?

While there is agreement that hydrostatic reduction (HR) is the ideal first-line treatment for childhood intussusception, there is controversy about which technique is best, namely, barium, air, or saline. We present our experience in the Pediatric Surgical Center, University of Alexandria, in HR of...

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Bibliographic Details
Published in:Pediatric surgery international 2000-07, Vol.16 (5-6), p.380-382
Main Authors: SHEHATA, S, EL KHOLI, N, SULTAN, A, EL SAHWI, E
Format: Article
Language:English
Subjects:
Air
Barium Sulfate - adverse effects
Barium Sulfate - therapeutic use
Biological and medical sciences
Child
Diagnosis, Differential
Enema - adverse effects
Enema - instrumentation
Enema - methods
Enema - trends
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Hydrostatic Pressure
Ileal Diseases - diagnostic imaging
Ileal Diseases - therapy
Intestinal Perforation - etiology
Intussusception - diagnostic imaging
Intussusception - therapy
Medical sciences
Other diseases. Semiology
Patient Selection
Recurrence
Retrospective Studies
Sensitivity and Specificity
Sodium Chloride - therapeutic use
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Time Factors
Treatment Outcome
Ultrasonography, Interventional - adverse effects
Ultrasonography, Interventional - instrumentation
Ultrasonography, Interventional - methods
Ultrasonography, Interventional - mortality
Ultrasonography, Interventional - trends
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Summary:While there is agreement that hydrostatic reduction (HR) is the ideal first-line treatment for childhood intussusception, there is controversy about which technique is best, namely, barium, air, or saline. We present our experience in the Pediatric Surgical Center, University of Alexandria, in HR of intussusception under ultrasound (US) guidance. The study was divided into two phases: between 1983 and 1990 and between 1991 and 1998. HR was started gradually in phase I, and became routine in phase II. Diagnosis and reduction were done by the pediatric surgical staff. The success rate was 71.7% in phase I and 85.5% in phase II. Most unreduced cases were the ileo-ileocolic type: 58.6% in phase I and 69.3% in phase II. HR under US guidance is equal or superior to other techniques of reduction, while having the obvious advantage of avoiding radiation exposure.
ISSN:0179-0358
1437-9813
DOI:10.1007/s003830000388