2000
DOI: 10.1007/s003830000388
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Hydrostatic reduction of intussusception: barium, air, or saline?

Abstract: While there is agreement that hydrostatic reduction (HR) is the ideal first-line treatment for childhood intussusception, there is controversy about which technique is best, namely, barium, air, or saline. We present our experience in the Pediatric Surgical Center, University of Alexandria, in HR of intussusception under ultrasound (US) guidance. The study was divided into two phases: between 1983 and 1990 and between 1991 and 1998. HR was started gradually in phase I, and became routine in phase II. Diagnosis… Show more

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Cited by 27 publications
(16 citation statements)
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“…Intussusception has become a disease that is mainly managed nonoperatively, with a current reported success rate above 80% for nonoperative reduction in single institution studies [19][20][21]. Using population-based data, we showed a comparable rate of nonoperative reduction (74.3%) in Ontario, Canada.…”
Section: Discussionsupporting
confidence: 60%
“…Intussusception has become a disease that is mainly managed nonoperatively, with a current reported success rate above 80% for nonoperative reduction in single institution studies [19][20][21]. Using population-based data, we showed a comparable rate of nonoperative reduction (74.3%) in Ontario, Canada.…”
Section: Discussionsupporting
confidence: 60%
“…The strategy of treatment of intussusception is different in children and in adults. Use of barium enema provides both diagnostic confirmation and a chance for non‐surgical reduction of intussusception in children 6 . It is agreed that the ideal treatment of childhood idiopathic intussusception without clinical or radiographic evidence of peritonitis and suspected perforation is hydrostatic reduction, which would save a large number of patients from unnecessary surgery.…”
Section: Discussionmentioning
confidence: 99%
“…Hydrostatic reduction is less effective for HSP intussusception with compared with idiopathic intussusception, because the lead points in HSP are often confined to the small intestine 5,9–11 . Perforation during attempted hydrostatic reduction is the most severe complication with the patients having a difficult postoperative course 6,12 , 13 . Patients in whom the bowel is ischemic or inflamed are at high risk of perforation 13 .…”
Section: Discussionmentioning
confidence: 99%
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“…Non-surgical reduction of intussusception is generally made under fluoroscopic guidance [27][28][29][30], even if USguided reduction may represent in the future a valid alternative to fluoroscopy as a less invasive guide in nonsurgical reduction of intussusception, avoiding exposition to ionizing radiations of little patients. The best studies about the use of US guide in intussusception reduction come from Asia, but nowadays also Europe is considering this technique.…”
Section: Discussionmentioning
confidence: 99%