Childhood intussusception: US-guided hydrostatic reduction
- Author(s)
- Seong Ku Woo; Jung Sik Kim; Soo Jhi Shu; Tae Won Paik; Sook Ok Choi
- Keimyung Author(s)
- Woo, Seong Ku; Kim, Jung Sik; Suh, Soo Jhi; Paik, Tae Won; Choi, Soon Ok
- Department
- Dept. of Radiology (영상의학)
Dept. of Pediatrics (소아청소년학)
Dept. of Surgery (외과학)
- Journal Title
- Radiology
- Issued Date
- 1992
- Volume
- 182
- Issue
- 1
- Keyword
- Children; Gastrointestinal tract; interventional procedure; US studies; intussusception; Ultrasound(US) guidance
- Abstract
- Over a 30-month period, real-time ultrasound (US) was performed in 116 children with suspected intussusception. US findings were positive in all 75 cases of intussusception. Except in one case of transient small-bowel intussusception, the authors immediately attempted US-guided hydrostatic reduction in all cases. Reduction was successful in 63 cases (85%), as demonstrated with US and resolution of signs and symptoms of intussusception. Negative sonograms were confirmed with clinical follow-up. Among 11 failed cases, reduction with barium enema was attempted in six, but all attempts failed. No complications have occurred to date. The authors conclude that US is a reliable diagnostic screening modality in cases of suspected intussusception and that US-guided hydrostatic reduction is a promising technique in nonoperative treatment.
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