Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968543 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-227X (Electronic) Linking ISSN: 1471227X NLM ISO Abbreviation: BMC Emerg Med Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Saline Solution* ; Ultrasonography*; Enema/*methods ; Intussusception/*therapy; Child, Preschool ; Female ; Hospitals, Teaching ; Humans ; Infant ; Male ; Nigeria ; Prospective Studies
    • Abstract:
      Background: The management of childhood intussusception in our sub-region is still via surgical intervention. Currently, the gold standard of treatment is non-operative reduction. We sought to assess the suitability of hydrostatic (saline) reduction of intussusception in children in our institution.
      Materials and Methods: A prospective study was conducted between January 2016 and June 2017 in all children with ultrasound confirmed intussusception at a tertiary teaching hospital in Nigeria. All children excluding those with signs of peritonitis, bowel gangrene and intestinal prolapse were selected for ultrasound-guided hydrostatic reduction (USGHR). We allowed a maximum of three attempts at reduction.
      Results: The age range was 3 months to 48 months with a mean of 10.8 ± 9.1 months. Forty percent (N = 18) presented after 24 h of onset of symptoms. The success rate of hydrostatic reduction with saline enema was 84.4% (N = 38). Two (4.4%) perforations occurred during the procedure. Three (7.5%) patients had recurrent intussusception within six months. The duration of symptoms greater than 24 h, age and sex of patients did not influence successful reduction p > 0.05. The duration of admission between those who had successful non-operative reduction and those who subsequently had operative reduction and or resection attained statistical significant difference, p = 0.001. There was no mortality. We achieved a 68% decrease in the operative reduction of intussusception using USGHR as the primary modality of treatment.
      Conclusion: Our study found out that USGHR is a suitable alternative for the treatment of childhood intussusception.
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    • Contributed Indexing:
      Keywords: Childhood intussusception; Hydrostatic reduction; Saline; Ultrasound-guided
    • Accession Number:
      0 (Saline Solution)
    • Publication Date:
      Date Created: 20181123 Date Completed: 20190618 Latest Revision: 20190618
    • Publication Date:
      20240829
    • Accession Number:
      PMC6249894
    • Accession Number:
      10.1186/s12873-018-0196-z
    • Accession Number:
      30463518