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
2011 Impact Factor: 1.45
2011 SCImago Journal Rankings: 0.114
DOIhttp://dx.doi.org/10.1016/S0022-3468(97)90079-8
ISI Accession Number IDWOS:A1997WE27500002
ReferencesReferences in Scopus
DC Field
Value
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
2011 Impact Factor: 1.45
2011 SCImago Journal Rankings: 0.114
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
Author Affiliations
  1. The University of Hong Kong