scholarly journals ULTRASOUND GUIDED HYDROSTATIC REDUCTION IN PEDIATRIC INTUSSUSCEPTION: AN EXPERIENCE IN A TERIATRY CARE CENTRE

2021 ◽  
pp. 1
Author(s):  
VIKAS JADHAV ◽  
SACHIN CHITALKAR ◽  
RAHUL ARKAR ◽  
YASHRAJ PATIL ◽  
SHARAD AGARKHEDKAR
Keyword(s):  
Care Centre ◽  
Ultrasound Guided ◽  
Hydrostatic Reduction

scholarly journals CLINICAL PROFILE OF INTUSSUSCEPTION IN CHILDREN ADMITTED TO A TERTIARY CARE CENTRE IN KERALA

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Neethu Jose ◽  
Aparna Namboodiripad ◽  
Regi George A N
Keyword(s):  
Tertiary Care ◽  
Spontaneous Resolution ◽  
Reduction Technique ◽  
Clinical Profile ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Hydrostatic Reduction ◽  
Duration Of Hospital Stay ◽  
Study Population

Background and objectives: Intussusception is the commonest cause of bowel obstruction and is one of the common abdominal emergencies in children younger than 2 years of age.The objective of the study was to assess the clinical profile of intussusception in children and the management and the outcome  and  to assess whether the characteristics mentioned in clinical profile are predictive of subsequent management and outcome of the disease. Methods: A hospital based descriptive study conducted in a tertiary care centre in Kerala, using purposive sampling technique. 120 children admitted with diagnosis of intussusception   fulfilling inclusion criteria and whose parents consented for study were included in the study population, during the study period from November 2018 to June 2020. Detailed history, clinical examination including per rectal examination  and USG was done to make diagnosis of intussusception in suspected cases. Follow up is done at 72 hours,1 week after the admission and 1month later. To assess the clinical profile and outcome of patients, frequency and percentage is used. To obtain the association of clinical profile with outcome chi square test is applied. Results: Outcome of the problem was correlated with age, sex, symptoms, risk factors sonological findings treatment protocol and duration of hospital stay. Out of the 120 children in study population, majority were males(65.8%) with male to female ratio 1.9:1 and majority was in the age group 7- 12 months, which is similar to many other similar studies. Maximum number of cases were in the month of February(14.2%) and November(15%).  Majority of the patients(57.5%) presented to healthcare facility within 24 hours of onset of first symptom.Irritability was the most common clinical symptom(62.5%) followed by vomiting(58.3%) and abdominal pain(49.2%). Ileocolic intussusception (96.7%) was the commonest type. Majority of the cases could be managed with hydrostatic saline reduction(73.3%) and significantly lesser number of patient went for surgical intervention(7.5%) and spontaneous resolution(19.2%). Conclusions: Incidence of intussusception is more common among males and more in the 7-12 month age group.  Majority of the cases presented to health care facility within 24 hours of onset of symptom and could be managed with hydrostatic reduction technique and had a shorter duration of hospital stay compared to surgical reduction technique. Even recurrent cases could be managed with hydrostatic saline reduction. Keywords: Intussusception;  Intestinal obstruction;  Hydrostatic reduction; Spontaneous resolution

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.

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