Ultrasound-guided Hydrostatic Reduction of Acute Intussusception in Children at a Tertiary Care Center: An Observational Study
Introduction: Intussusception is common cause of acute emergency responsible for bowel obstruction in infants and toddlers with peak age of incidence between 6-9 months. Ultrasound is imaging modality of choice for diagnosis of intussusception and ultrasound guided hydrostatic enema reduction is st...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nepal Medical Association
2025-01-01
|
| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8878 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832541122123005952 |
|---|---|
| author | Ajay Kumar Yadav Neha Yadav Binit Dev Sonia Dahal Rohit Prasad Yadav Sushil Taparia Hiramani Pathak |
| author_facet | Ajay Kumar Yadav Neha Yadav Binit Dev Sonia Dahal Rohit Prasad Yadav Sushil Taparia Hiramani Pathak |
| author_sort | Ajay Kumar Yadav |
| collection | DOAJ |
| description |
Introduction: Intussusception is common cause of acute emergency responsible for bowel obstruction in infants and toddlers with peak age of incidence between 6-9 months. Ultrasound is imaging modality of choice for diagnosis of intussusception and ultrasound guided hydrostatic enema reduction is standard, nonsurgical, internationally preferred treatment modality for uncomplicated pediatric intussusceptions. This study was aimed to find the outcome of the procedure.
Methods: An observational cross-section was carried in a tertiary care center in children presenting with intussusception. Ultrasoud guided hydrostatic reduction was done in all radiologically confirmed intussusception in children presenting to our tertiary hospital from February 2023 to July 2024 fulfilling the inclusion criteria after proper resuscitation. Patients having marked abdominal distension with features of peritonitis were excluded from the study. Ethical approval was obtained from Institutional Review Committee (Reference number: 287/2023).
Results: Total 81 patients with 84 intussusceptions underwent ultrasound guided hydrostatic reduction with male to female ratio of 2.86 and mean age 9.49±8.43 months. Hydrostatic reduction was successful in 78 (92.85%) cases. Among successful reductions, 3 (3.84%) patients had recurrence and repeat successful hydrostatic reduction was done. Presenting complain seen were abdominal pain 81 (100%) , vomiting 72 (88.89%). Ileocolic intussusception was seen in 74 (88.09%).
Conclusions: The success rate of ultrasound-guided hydrostatic reduction using normal saline for uncomplicated intussusception was consistent with findings from previous studies conducted in similar settings, which utilized both hydrostatic and pneumatic reduction methods.
|
| format | Article |
| id | doaj-art-c448e8659480444a8aae761c9af88914 |
| institution | Kabale University |
| issn | 0028-2715 1815-672X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj-art-c448e8659480444a8aae761c9af889142025-02-04T09:26:19ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2025-01-016328210.31729/jnma.8878Ultrasound-guided Hydrostatic Reduction of Acute Intussusception in Children at a Tertiary Care Center: An Observational StudyAjay Kumar Yadav0Neha Yadav1Binit Dev2Sonia Dahal3Rohit Prasad Yadav4Sushil Taparia5Hiramani Pathak6Department of Radiodiagnosis and Interventional Radiology, Birat Medical College & Teaching Hospital, Biratnagar, Morang, NepalDepartment of Microbiology & Infectious Disease, Koshi Zonal Hopsital, Biratnagar, Morang, NepalDepartment of Radiodiagnosis and Interventional Radiology, Birat Medical College & Teaching Hospital, Biratnagar, Morang, NepalDepartment of Pediatrics, Birat Medical College & Teaching Hospital, Biratnagar, Morang, NepalDepartment of General Surgery, Birat Medical College & Teaching Hospital, Biratnagar, Morang, NepalDepartment of Radiodiagnosis and Interventional Radiology, Birat Medical College & Teaching Hospital, Biratnagar, Morang, NepalDepartment of Pediatrics Surgery, Birat Medical College & Teaching Hospital, Biratnagar, Morang, Nepal Introduction: Intussusception is common cause of acute emergency responsible for bowel obstruction in infants and toddlers with peak age of incidence between 6-9 months. Ultrasound is imaging modality of choice for diagnosis of intussusception and ultrasound guided hydrostatic enema reduction is standard, nonsurgical, internationally preferred treatment modality for uncomplicated pediatric intussusceptions. This study was aimed to find the outcome of the procedure. Methods: An observational cross-section was carried in a tertiary care center in children presenting with intussusception. Ultrasoud guided hydrostatic reduction was done in all radiologically confirmed intussusception in children presenting to our tertiary hospital from February 2023 to July 2024 fulfilling the inclusion criteria after proper resuscitation. Patients having marked abdominal distension with features of peritonitis were excluded from the study. Ethical approval was obtained from Institutional Review Committee (Reference number: 287/2023). Results: Total 81 patients with 84 intussusceptions underwent ultrasound guided hydrostatic reduction with male to female ratio of 2.86 and mean age 9.49±8.43 months. Hydrostatic reduction was successful in 78 (92.85%) cases. Among successful reductions, 3 (3.84%) patients had recurrence and repeat successful hydrostatic reduction was done. Presenting complain seen were abdominal pain 81 (100%) , vomiting 72 (88.89%). Ileocolic intussusception was seen in 74 (88.09%). Conclusions: The success rate of ultrasound-guided hydrostatic reduction using normal saline for uncomplicated intussusception was consistent with findings from previous studies conducted in similar settings, which utilized both hydrostatic and pneumatic reduction methods. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8878hydrostaticintususceptionreductionultrasonography |
| spellingShingle | Ajay Kumar Yadav Neha Yadav Binit Dev Sonia Dahal Rohit Prasad Yadav Sushil Taparia Hiramani Pathak Ultrasound-guided Hydrostatic Reduction of Acute Intussusception in Children at a Tertiary Care Center: An Observational Study Journal of Nepal Medical Association hydrostatic intususception reduction ultrasonography |
| title | Ultrasound-guided Hydrostatic Reduction of Acute Intussusception in Children at a Tertiary Care Center: An Observational Study |
| title_full | Ultrasound-guided Hydrostatic Reduction of Acute Intussusception in Children at a Tertiary Care Center: An Observational Study |
| title_fullStr | Ultrasound-guided Hydrostatic Reduction of Acute Intussusception in Children at a Tertiary Care Center: An Observational Study |
| title_full_unstemmed | Ultrasound-guided Hydrostatic Reduction of Acute Intussusception in Children at a Tertiary Care Center: An Observational Study |
| title_short | Ultrasound-guided Hydrostatic Reduction of Acute Intussusception in Children at a Tertiary Care Center: An Observational Study |
| title_sort | ultrasound guided hydrostatic reduction of acute intussusception in children at a tertiary care center an observational study |
| topic | hydrostatic intususception reduction ultrasonography |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8878 |
| work_keys_str_mv | AT ajaykumaryadav ultrasoundguidedhydrostaticreductionofacuteintussusceptioninchildrenatatertiarycarecenteranobservationalstudy AT nehayadav ultrasoundguidedhydrostaticreductionofacuteintussusceptioninchildrenatatertiarycarecenteranobservationalstudy AT binitdev ultrasoundguidedhydrostaticreductionofacuteintussusceptioninchildrenatatertiarycarecenteranobservationalstudy AT soniadahal ultrasoundguidedhydrostaticreductionofacuteintussusceptioninchildrenatatertiarycarecenteranobservationalstudy AT rohitprasadyadav ultrasoundguidedhydrostaticreductionofacuteintussusceptioninchildrenatatertiarycarecenteranobservationalstudy AT sushiltaparia ultrasoundguidedhydrostaticreductionofacuteintussusceptioninchildrenatatertiarycarecenteranobservationalstudy AT hiramanipathak ultrasoundguidedhydrostaticreductionofacuteintussusceptioninchildrenatatertiarycarecenteranobservationalstudy |