scholarly journals Ultrasound Guided Saline Hydrostatic Reduction: A Non-Surgical Procedure for the Management of Intussusception in Children

OALib ◽  
2014 ◽  
Vol 01 (04) ◽  
pp. 1-7
Author(s):  
Suvarna Latha ◽  
P. M. Venkata Sai ◽  
R. K. Bagadi
Keyword(s):  
Surgical Procedure ◽  
Ultrasound Guided ◽  
Hydrostatic Reduction

scholarly journals Pregnancy following Transvaginal Ultrasound-Guided Aspiration and Sclerotherapy of Endometrioma

2011 ◽  
Vol 3 (3) ◽  
pp. 153-154
Author(s):  
Mosammat Rashida Begum ◽  
Hosne Ara Baby
Keyword(s):  
Case Report ◽  
Ovarian Reserve ◽  
Surgical Procedure ◽  
Transvaginal Ultrasound ◽  
Ultrasound Guided

ABSTRACT Many researchers have tried for aspiration of endometrioma followed by alcohol or tetracycline sclerotherapy in order to avoid delicate surgical procedure as well as to keep a functioning ovarian reserve. It has traditionally being used for recurrent cases of endometriomas. But this case report illustrates the importance of applying this procedure in unavoidable and exceptional circumstances.

Ultrasound-guided hydrostatic reduction of ileo-colic intussusception in childhood: first-line management for both primary and recurrent cases

2021 ◽  
pp. 1-5
Author(s):  
Berat Dilek Demirel ◽  
Sertac Hancıoğlu ◽  
Basak Dağdemir ◽  
Meltem Ceyhan Bilgici ◽  
Beytullah Yagiz ◽  
...  
Keyword(s):  
Ultrasound Guided ◽  
First Line ◽  
Hydrostatic Reduction ◽  
Line Management

Shear wave elastography evaluation in predicting the success of ultrasound-guided saline enema hydrostatic reduction technique in ileocolic intussusception

2021 ◽  
pp. 028418512110187
Author(s):  
İsmail Akdulum ◽  
Enes Gürün ◽  
Melih Akyüz ◽  
Ramazan Tiken ◽  
Hayrunnisa Oral ◽  
...  
Keyword(s):  
Shear Wave ◽  
Shear Wave Elastography ◽  
Primary Treatment ◽  
Distal Portion ◽  
Intestinal Wall ◽  
Ileocolic Intussusception ◽  
Ultrasound Guided ◽  
Hydrostatic Reduction ◽  
Stiffness Measurement ◽  
Ileocecal Intussusception

Background Intussusception is the invagination of the proximal intestinal segment into the distal portion. Reduction procedures with fluid or air have been used as the primary treatment of choice in clinically stable children. Purpose To evaluate the role of intestinal wall elasticity measurements by shear wave elastography (SWE) to predict the success of ultrasound-guided saline enema (USGSE) reduction. Methods USGSE was performed, if not contraindicated otherwise, after the diagnosis of ileocecal intussusception via the ultrasound (US). The length and diameter of the intussusception and the median stiffness of the intestine were measured before USGSE. Results Seventeen children were diagnosed with ileocolic intussusception via grayscale US assessment. Two children whose SWE images became artifacts due to inadaptability were excluded from the study. Thus, the study involved 15 patients (9 boys, 6 girls; age range = 11–48 months). There was no statistically significant association between age and median stiffness measurement in kilopascal (kPa). ( P > 0.05). A moderate positive correlation was observed between the median stiffness measurement (kPa) and the length of intussusception (r = 0.547; P = 0.035). There was no statistically significant relationship between median stiffness measurement (kPa) and short-axis diameter of intussusception ( P > 0.05). Conclusions Stiffness assessment of the intestinal wall in ileocolic intussusception during the US examination, which is the gold standard in the intussusception assessment, can be used as a new criterion for predicting the performance of the USGSE technique and might be useful in making decisions regarding the clinical management of ileocolic intussusception.

scholarly journals Effectiveness of ultrasound-guided hydrostatic reduction of intussusception in children

2020 ◽  
Vol 27 (2) ◽  
pp. 134-140
Author(s):  
Sumi Datta ◽  
Md Jamal ◽  
Yesmina Rahman ◽  
Mahbuba Hussain ◽  
Fahmida Yeshmina ◽  
...  
Keyword(s):  
Success Rate ◽  
Nonoperative Treatment ◽  
Age Group ◽  
Ultrasound Guided ◽  
Interventional Study ◽  
Hydrostatic Reduction ◽  
Medical College ◽  
Study Population ◽  
One Year ◽  
Successful Reduction

Aim: To review the effectiveness of ultrasound- guided hydrostatic reduction of intussusception in children. Methods: This prospective interventional study was done during one year period from January 2014 to December 2014 in the department of Radiology and Imaging of Dhaka Medical College and Hospital, Dhaka and included 30 children clinically and radiologically diagnosed as intussusception with symptoms d” 48 hours. They underwent ultrasound-guided hydrostatic reduction using normal saline and the effectiveness of this technique was reviewed. Results: Majority of the study population were in the age group of 7-24 months with mean age of 9.04± 2.48 months. 100% patients who presented within 24 hours of their symptoms achieved successful reduction whereas success rate of reduction were 95% and 0% respectively in patients presented within 24-36 hours and after 36 hours of their symptoms. 60% cases required 5-10 minutes for successful reduction, 20% cases required 3-5 minutes and 10% patients needed > 10 minutes. Within 3 attempts, reduction happened in 90% cases whereas 10% cases failed to reduce. No case was tried for reduction after 3 attempts in consideration of the bowel pathology and complications. Only 10% patients developed negligible complications. No case showed recurrence. Conclusion: Ultrasound guided hydrostatic reduction of intussusception is an effective nonoperative treatment of intussusception in children because of its high success rate, less complications and recurrence rate. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 134-140

scholarly journals Outcome of ultrasound guided reduction of intussusception in children by saline enema

2021 ◽  
Vol 8 (11) ◽  
pp. 3348
Author(s):  
Ansari Mohammed Abdul Muqtadir ◽  
Shweta Brajesh Gupta ◽  
Sarojini Pramod Jadhav
Keyword(s):  
Normal Saline ◽  
Operative Procedure ◽  
Ultrasound Guided ◽  
First Line ◽  
Duration Of Symptoms ◽  
Hydrostatic Reduction ◽  
Haemodynamic Stability ◽  
Select Group ◽  
Male Preponderance ◽  
The Mean

Background: Intussuception is a common cause of acute intestinal obstruction in children and contributor of morbidity and mortality in children. The purpose of this study was to evaluate efficacy of hydrostatic reduction of intussusception over operative reduction using normal saline enema in children and to identify procedure related complications.Methods: All patients presenting to us with features of intussusception clinically and confirmed by ultrasonography between June 2015 to November 2017 were included in study. Depending on haemodynamic stability of patient and surgeon’s preference, patients were subjected to trial of hydrostatic reduction by normal saline enema or operative procedure. Patients with failure or partial reduction were taken for surgery.Results: The mean age was 21.07 months with a male preponderance. Of 53 patients attending the institute, 32 were given a trial of hydrostatic reduction which was successful in 28. Thus success rate was 87.5%. 1 patient succumbed resulting in 1.4% mortality rate after the procedure. It was observed that longer duration of symptoms reduced chances of reduction. 88%patients with successful hydrostatic reduction were discharged within 4 days of admission.Conclusions: We conclude that ultrasound guided saline enema is simple ,safe and effective method of treating intussusception in children with low rate of complications and can be strongly recommended as first line of treatment of intussusception in select group of paediatric patient, especially those reporting early to the hospital.

scholarly journals A Nine Case Series of Ultrasound-Guided Hydrostatic Reduction of Intussusception by Saline Enema

2013 ◽  
Vol 19 (1) ◽  
pp. 61-71
Author(s):  
Sornsupha Limchareon ◽  
Adisorn Boonyarit
Keyword(s):  
Case Series ◽  
Teaching Hospitals ◽  
Line Treatment ◽  
Ultrasound Guided ◽  
First Line ◽  
Hydrostatic Reduction ◽  
Pneumatic Reduction ◽  
Reduction Techniques ◽  
Enema Reduction ◽  
First Line Treatment

Non-surgical reduction of the intussusception is the first line treatment in children with intussusception. Among various radiological reduction techniques, barium enema reduction of the intussusception under fluoroscopy has been widely used in Thailand while pneumatic reduction under fluoroscopy has become popular in teaching hospitals. To our knowledge, ultrasound-guided hydrostatic reduction of the intussusception by saline enema (UGHSE) has never been used in Thailand. We reported 9 cases using UGHSE with 100% success rate without complication.

scholarly journals Ultrasound-Guided Hydrostatic Reduction Versus Fluoroscopy-Guided Air Reduction for Pediatric Intussusception: A Multi-Center, Prospective, Cohort Study

2020 ◽  
Author(s):  
Shu Ting Liu ◽  
Xiao Bing Tang ◽  
Huan Li ◽  
Dong Chen ◽  
Jun Lei ◽  
...  
Keyword(s):  
Cohort Study ◽  
Subgroup Analysis ◽  
Prospective Cohort ◽  
Success Rates ◽  
Ultrasound Guided ◽  
Perforation Rate ◽  
Recurrence Rates ◽  
Hydrostatic Reduction ◽  
Stratified Analysis ◽  
Enema Reduction

Abstract Background：Intussusception is the most common abdominal emergency in children. The first line treatment of uncomplicated pediatric intussusception is enema reduction. Until now, there have been no multi-center studies comparing the effectiveness and safety of UGHR and FGAR in the treatment of pediatric intussusception. The aim of this study was to compare the effectiveness and safety of the two most commonly used enema methods of pediatric intussusception: Ultrasound-guided hydrostatic reduction (UGHR) and Fluoroscopy-guided air reduction (FGAR).Methods: From November 1, 2017 to October 31, 2018, we conducted a multi-center, prospective, cohort study. Children diagnosed with intussusception in four large Children’s Medical Centers in China were divided into UGHR and FGAR groups. Stratified analysis and subgroup analysis were used for further comparison. The success and recurrence rates were used to evaluate the effectiveness of enema reduction. The perforation rate was used to evaluate the safety of enema reduction.Results: A total of 2,124 cases met the inclusion criteria (UGHR group: 1119 cases; FGAR group: 1005 cases). The success and recurrence rates in the UGHR group were higher than in the FGAR group (95.80%, 9.28% vs. 93.13%, 10.65%) (P<0.05, P>0.05), respectively. The perforation rate in the UGHR group was 0.36% compared with 0.30% in the FGAR group (P>0.05). Subgroup analysis showed the success rates in the UGHR group were higher than in the FGAR group of patients with onset time between 12h and 24h (95.56% vs 90.57%) (P<0.05). Of patients aged 4 to 24 months, the success rates in the UGHR group were also higher than in the FGAR group (95.77% vs 91.60%) (P<0.05). Stratified analysis showed the success rates in the UGHR group were higher than in the FGAR group in patients with the symptom of bloody stool (91.91% vs 85.38%) (P<0.05).Conclusions: UGHR and FGAR are safe, nonsurgical treatment methods for acute pediatric intussusception. UGHR is superior to FGAR, no radiation risk, its success rate is higher, without a difference in perforation rate, especially for patients aged 4–24 months.Level of evidence: Level II.

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