Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Ultrasound-guided hydrostatic reduction (UGHR) is a well accepted and widely used method of paediatric intussusception reduction, with the saline drip technique being the most commonly employed.
Aims And Objectives: In this study we aimed to assess the outcomes of a novel technique of UGHR.
Materials And Methods: Data was obtained from a 15 year retrospective chart review of paediatric intussusceptions. Following resuscitation, UGHR was performed for uncomplicated intussusceptions using a 50cc syringe to infuse saline into the colon. It was performed in the ultrasound suite without sedation and time taken was monitored. A maximum of 3 attempts were done to achieve reduction.
Results: UGHR was attempted in 66 of 93 intussusceptions. The commonest type of intussusception was ileo-colic(91%) and the commonest symptom was vomiting(70%). Surgery was performed only when there was shock, peritonitis or repeated failed reductions. The median time taken for reduction was 4.9 minutes. The overall success rate was 83% with 89% of these requiring only a single attempt. There were no deaths or procedure related complications.
Conclusions: The syringe technique for intussusception reduction is a safe, effective, and time-saving technique. Additionally, it offers the advantages of simplicity and rapidity of reduction and in experienced hands may not require pressure monitoring.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9208691 | PMC |
| http://dx.doi.org/10.4103/jiaps.JIAPS_55_21 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Successful endoscopic reduction of rare post-ESD colonic intussusception: A case report.
Sci Prog
September 2025
Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, China.
Colonic intussusception after endoscopic submucosal dissection (ESD) is an uncommon, yet clinically significant complication. Therapeutic approaches for postoperative intussusception encompass conservative management, endoscopic reduction, and surgical intervention. We present a case involving a woman in her early 40s who experienced acute abdominal pain and fever shortly after ESD for a large ascending colonic adenoma.
View Article and Find Full Text PDFComprehensive assessment of the impact of universal rotavirus vaccination program on the burden of diarrheal disease in children after 10 years of implementation in Argentina.
Vaccine
August 2025
Laboratory of Viral Gastroenteritis, National Institute for Infectious Diseases, INEI-ANLIS "Dr. Carlos G. Malbrán". Avenida Vélez Sársfield, 563, Ciudad de Buenos Aires, Argentina. Electronic address:
Background: In 2015, Argentina introduced the monovalent rotavirus vaccine into its National Immunization Program with a two-dose schedule at 2 and 4 months of age. This study assessed the impact of the universal rotavirus vaccination program on the burden of diarrheal disease in children under five years of age over a ten-year period, including the effects of the COVID-19 pandemic.
Methods: A mixed ecological time-trend analysis was conducted using national and regional secondary data from surveillance and health information systems.
A case of retrograde colonic intussusception by tubulovillous adenoma.
Clin J Gastroenterol
August 2025
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
Introduction: Retrograde colonic intussusception is a rare condition in adults, often caused by organic lesions such as tumors. Autonomic dysfunction in disorders like multiple system atrophy (MSA) might contribute to its occurrence.
Case Presentation: An 81-year-old bedridden woman with a history of MSA presented with severe abdominal pain and abdominal distension lasting 4 days.
Predictive model integrating deep learning and clinical features based on ultrasound imaging data for surgical intervention in intussusception in children younger than 8 months.
BMJ Open
August 2025
Radiology, Children's Hospital of Soochow University, Suzhou, Jiangsu, China
Objectives: The objective of this study was to identify risk factors for enema reduction failure and to establish a combined model that integrates deep learning (DL) features and clinical features for predicting surgical intervention in intussusception in children younger than 8 months of age.
Design: A retrospective study with a prospective validation cohort of intussusception.
Setting And Data: The retrospective data were collected from two hospitals in south east China between January 2017 and December 2022.
Intestinal Intussusception in Adults: A Systematic Review.
World J Surg
August 2025
Department of Visceral Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland.
Background: Management of intestinal intussusception remains controversial with regards to conservative versus operative management, as well as choice of surgical procedure.
Methods: A systematic review on PubMed/MEDLINE, Web of Science, Google Scholar, SCOPUS/EMBASE, and the Cochrane Library was performed. Articles published between 2004 and 2024 were collected.