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Article: Childhood intussusception: Ultrasound-guided Hartmann's solution hydrostatic reduction or barium enema reduction?
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TitleChildhood intussusception: Ultrasound-guided Hartmann's solution hydrostatic reduction or barium enema reduction?
 
AuthorsChan, KL1
Saing, H1
Peh, WCG1
Mya, GH1
Cheng, W1
Khong, PL1
Lam, C1
Lam, WWM1
Leong, LLY1
Low, LCK1
 
Keywordsbarium enema reduction
hydrostatic reduction
Intussusception
ultrasound-guided Hartmann's solution
 
Issue Date1997
 
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
 
CitationJournal Of Pediatric Surgery, 1997, v. 32 n. 1, p. 3-6 [How to Cite?]
DOI: http://dx.doi.org/10.1016/S0022-3468(97)90079-8
 
AbstractA comparison was made of the efficacy of ultrasound-guided Hartmann's solution hydrostatic reduction on 23 patients (US group) with the same number of consecutive patients in whom hydrostatic reduction was done by barium enema (BE group) under fluoroscopy for childhood intussusception. The US group was diagnosed by ultrasound scan and reduction was attempted under the guidance of ultrasonography with Hartmann's solution at 100 mm Hg pressure. Excluded were patients older than 12 years, patients in shock, patients with peritonitis, bowel perforation, and gross abdominal distension as well as recurrent intussusception of more than three episodes. There were three patients excluded in this group. The diagnosis of intussusception and complete reduction were confirmed by gastrografin enema. This US group had three recurrences (3 of 26, 11.5%), one lead point (1 of 23, 4.4%), and 19 successful reductions (19 of 26, 73%). Incidentally, there were also three patients excluded in this period of barium enema reduction. There was only one recurrence (1 of 24, 4.2%), one leadpoint (1 of 23, 4.4%), and 12 successful reductions (12 of 24, 50%) in these 23 BE patients. The success rates for the ileo-colic intussusceptions with Hartmann's solution reduction and barium enema reduction were 91% (19 of 21) and 55% (12 of 22), respectively (P = .00865). There was no complication in either group, and the accuracy of diagnosing a complete reduction was 100% in both forms of reduction. Hence, ultrasound-guided hydrostatic reduction for childhood ileocolic intussusception is preferred because it is safe, accurate, has a higher success rate, and can avoid radiation exposure risk.
 
ISSN0022-3468
2013 Impact Factor: 1.311
2013 SCImago Journal Rankings: 0.811
 
DOIhttp://dx.doi.org/10.1016/S0022-3468(97)90079-8
 
ISI Accession Number IDWOS:A1997WE27500002
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorChan, KL
 
dc.contributor.authorSaing, H
 
dc.contributor.authorPeh, WCG
 
dc.contributor.authorMya, GH
 
dc.contributor.authorCheng, W
 
dc.contributor.authorKhong, PL
 
dc.contributor.authorLam, C
 
dc.contributor.authorLam, WWM
 
dc.contributor.authorLeong, LLY
 
dc.contributor.authorLow, LCK
 
dc.date.accessioned2010-09-06T08:00:44Z
 
dc.date.available2010-09-06T08:00:44Z
 
dc.date.issued1997
 
dc.description.abstractA comparison was made of the efficacy of ultrasound-guided Hartmann's solution hydrostatic reduction on 23 patients (US group) with the same number of consecutive patients in whom hydrostatic reduction was done by barium enema (BE group) under fluoroscopy for childhood intussusception. The US group was diagnosed by ultrasound scan and reduction was attempted under the guidance of ultrasonography with Hartmann's solution at 100 mm Hg pressure. Excluded were patients older than 12 years, patients in shock, patients with peritonitis, bowel perforation, and gross abdominal distension as well as recurrent intussusception of more than three episodes. There were three patients excluded in this group. The diagnosis of intussusception and complete reduction were confirmed by gastrografin enema. This US group had three recurrences (3 of 26, 11.5%), one lead point (1 of 23, 4.4%), and 19 successful reductions (19 of 26, 73%). Incidentally, there were also three patients excluded in this period of barium enema reduction. There was only one recurrence (1 of 24, 4.2%), one leadpoint (1 of 23, 4.4%), and 12 successful reductions (12 of 24, 50%) in these 23 BE patients. The success rates for the ileo-colic intussusceptions with Hartmann's solution reduction and barium enema reduction were 91% (19 of 21) and 55% (12 of 22), respectively (P = .00865). There was no complication in either group, and the accuracy of diagnosing a complete reduction was 100% in both forms of reduction. Hence, ultrasound-guided hydrostatic reduction for childhood ileocolic intussusception is preferred because it is safe, accurate, has a higher success rate, and can avoid radiation exposure risk.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Pediatric Surgery, 1997, v. 32 n. 1, p. 3-6 [How to Cite?]
DOI: http://dx.doi.org/10.1016/S0022-3468(97)90079-8
 
dc.identifier.doihttp://dx.doi.org/10.1016/S0022-3468(97)90079-8
 
dc.identifier.epage6
 
dc.identifier.hkuros21979
 
dc.identifier.isiWOS:A1997WE27500002
 
dc.identifier.issn0022-3468
2013 Impact Factor: 1.311
2013 SCImago Journal Rankings: 0.811
 
dc.identifier.issue1
 
dc.identifier.openurl
 
dc.identifier.pmid9021555
 
dc.identifier.scopuseid_2-s2.0-12644260469
 
dc.identifier.spage3
 
dc.identifier.urihttp://hdl.handle.net/10722/79957
 
dc.identifier.volume32
 
dc.languageeng
 
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
 
dc.publisher.placeUnited States
 
dc.relation.ispartofJournal of Pediatric Surgery
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshBarium Sulfate - administration & dosage - therapeutic use
 
dc.subject.meshChild
 
dc.subject.meshContrast Media
 
dc.subject.meshDiatrizoate Meglumine - diagnostic use
 
dc.subject.meshEnema
 
dc.subject.meshFemale
 
dc.subject.meshFluoroscopy
 
dc.subject.meshHumans
 
dc.subject.meshHydrostatic Pressure
 
dc.subject.meshIleal Diseases - radiography - surgery - therapy - ultrasonography
 
dc.subject.meshInfant
 
dc.subject.meshIntussusception - radiography - surgery - therapy - ultrasonography
 
dc.subject.meshIsotonic Solutions - administration & dosage - therapeutic use
 
dc.subject.meshMale
 
dc.subject.meshRadiography, Interventional
 
dc.subject.meshRecurrence
 
dc.subject.meshRisk Factors
 
dc.subject.meshSafety
 
dc.subject.meshTreatment Outcome
 
dc.subject.meshUltrasonography, Interventional
 
dc.subjectbarium enema reduction
 
dc.subjecthydrostatic reduction
 
dc.subjectIntussusception
 
dc.subjectultrasound-guided Hartmann's solution
 
dc.titleChildhood intussusception: Ultrasound-guided Hartmann's solution hydrostatic reduction or barium enema reduction?
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong