Variables determining the success of ultrasound-guided hydrostatic reduction of intussusception in infants
| Autor: | Nagi I. Eldesouki, Akram M. Elbatarny, Mohammad A. Arafa, Mohammad G. Khirallah |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
hydrostatic
intussusception ultrasound medicine.medical_specialty business.industry Peritoneal fluid Sedation medicine.medical_treatment Ultrasound Enema medicine.disease Abdominal mass 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Intussusception (medical disorder) Pediatrics Perinatology and Child Health Medicine medicine.symptom business Saline Reduction (orthopedic surgery) |
| Zdroj: | Annals of Pediatric Surgery; Vol 13, No 3 (2017); 136-139 |
| ISSN: | 1687-4137 |
| Popis: | Background: Intussusception represents one of the most common urgent surgical admissions during early infancy and childhood period. It’s a form of intestinal obstruction which is manifested by colicky abdominal pain, red current jelly stool and abdominal mass. Abdominal Ultrasound is the method of choice for diagnosis. Treatment of intussusception ranged from simple non operative reduction either by pneumatic or hydrostatic enema to surgical exploration. There multiple variables that may affect the result of of non operative management. Aim: We tried to study them to know whom patient would pass without surgery. Patients and methods: Two hundred patients diagnosed with intussusceptions included in this study. All of them received ultra sound guided hydrostatic reduction using warm saline. The maximum number of attempts of reduction was three times. We used intrvenous sedation in irritable infants. Results: 2 hundred cases with intussusception were treated in this study. One hundred forty were reduced (group A) and 60 cases (group B) required surgical exploration. The mean body weight in group A was 7.3 Kg while in group B 9.3Kg. seventy five cases from both groups were operated. Conclusion: Several factors affect the result of hydrostatic reduction as total leukocytic count, CRP and duration of symptoms. In addition the size of the mass and the presence or absence of free peritoneal fluid affects the non operative management. Keywords: hydrostatic, intussusception, ultrasound |
| Databáze: | OpenAIRE |
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