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Article: Childhood intussusception: Ultrasound-guided Hartmann's solution hydrostatic reduction or barium enema reduction?

TitleChildhood intussusception: Ultrasound-guided Hartmann's solution hydrostatic reduction or barium enema reduction?
Authors
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
Citation
Journal Of Pediatric Surgery, 1997, v. 32 n. 1, p. 3-6 How to Cite?
Abstract
A 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.
Persistent Identifierhttp://hdl.handle.net/10722/79957
ISSN
2013 Impact Factor: 1.311
2013 SCImago Journal Rankings: 0.811
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, KLen_HK
dc.contributor.authorSaing, Hen_HK
dc.contributor.authorPeh, WCGen_HK
dc.contributor.authorMya, GHen_HK
dc.contributor.authorCheng, Wen_HK
dc.contributor.authorKhong, PLen_HK
dc.contributor.authorLam, Cen_HK
dc.contributor.authorLam, WWMen_HK
dc.contributor.authorLeong, LLYen_HK
dc.contributor.authorLow, LCKen_HK
dc.date.accessioned2010-09-06T08:00:44Z-
dc.date.available2010-09-06T08:00:44Z-
dc.date.issued1997en_HK
dc.identifier.citationJournal Of Pediatric Surgery, 1997, v. 32 n. 1, p. 3-6en_HK
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79957-
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.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_HK
dc.relation.ispartofJournal of Pediatric Surgeryen_HK
dc.subjectbarium enema reductionen_HK
dc.subjecthydrostatic reductionen_HK
dc.subjectIntussusceptionen_HK
dc.subjectultrasound-guided Hartmann's solutionen_HK
dc.subject.meshBarium Sulfate - administration & dosage - therapeutic useen_HK
dc.subject.meshChilden_HK
dc.subject.meshContrast Mediaen_HK
dc.subject.meshDiatrizoate Meglumine - diagnostic useen_HK
dc.subject.meshEnemaen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshFluoroscopyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshHydrostatic Pressureen_HK
dc.subject.meshIleal Diseases - radiography - surgery - therapy - ultrasonographyen_HK
dc.subject.meshInfanten_HK
dc.subject.meshIntussusception - radiography - surgery - therapy - ultrasonographyen_HK
dc.subject.meshIsotonic Solutions - administration & dosage - therapeutic useen_HK
dc.subject.meshMaleen_HK
dc.subject.meshRadiography, Interventionalen_HK
dc.subject.meshRecurrenceen_HK
dc.subject.meshRisk Factorsen_HK
dc.subject.meshSafetyen_HK
dc.subject.meshTreatment Outcomeen_HK
dc.subject.meshUltrasonography, Interventionalen_HK
dc.titleChildhood intussusception: Ultrasound-guided Hartmann's solution hydrostatic reduction or barium enema reduction?en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=32&issue=1&spage=3&epage=6&date=1997&atitle=Childhood+intussusception:+ultrasound-guided+Hartmann%27s+solution+hydrostatic+reduction+or+barium+enema+reduction?en_HK
dc.identifier.emailKhong, PL: plkhong@hkucc.hku.hken_HK
dc.identifier.emailLow, LCK: lcklow@hkucc.hku.hken_HK
dc.identifier.authorityKhong, PL=rp00467en_HK
dc.identifier.authorityLow, LCK=rp00337en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0022-3468(97)90079-8en_HK
dc.identifier.pmid9021555en_HK
dc.identifier.scopuseid_2-s2.0-12644260469en_HK
dc.identifier.hkuros21979en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-12644260469&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume32en_HK
dc.identifier.issue1en_HK
dc.identifier.spage3en_HK
dc.identifier.epage6en_HK
dc.identifier.isiWOS:A1997WE27500002-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChan, KL=37004089600en_HK
dc.identifier.scopusauthoridSaing, H=7005715754en_HK
dc.identifier.scopusauthoridPeh, WCG=7101824984en_HK
dc.identifier.scopusauthoridMya, GH=6602928992en_HK
dc.identifier.scopusauthoridCheng, W=7402169228en_HK
dc.identifier.scopusauthoridKhong, PL=7006693233en_HK
dc.identifier.scopusauthoridLam, C=14119182300en_HK
dc.identifier.scopusauthoridLam, WWM=35292558200en_HK
dc.identifier.scopusauthoridLeong, LLY=7004323766en_HK
dc.identifier.scopusauthoridLow, LCK=7007049461en_HK

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