Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study
Abstract Background The management of childhood intussusception in our sub-region is still via surgical intervention. Currently, the gold standard of treatment is non-operative reduction. We sought to assess the suitability of hydrostatic (saline) reduction of intussusception in children in our inst...
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| Format: | Article |
| Language: | English |
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BMC
2018-11-01
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| Series: | BMC Emergency Medicine |
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| Online Access: | http://link.springer.com/article/10.1186/s12873-018-0196-z |
| _version_ | 1819198383853666304 |
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| author | Ademola Olusegun Talabi Olusola Comfort Famurewa Kayode Taiwo Bamigbola Oludayo Adedapo Sowande Babalola Ishmael Afolabi Olusanya Adejuyigbe |
| author_facet | Ademola Olusegun Talabi Olusola Comfort Famurewa Kayode Taiwo Bamigbola Oludayo Adedapo Sowande Babalola Ishmael Afolabi Olusanya Adejuyigbe |
| author_sort | Ademola Olusegun Talabi |
| collection | DOAJ |
| description | Abstract Background The management of childhood intussusception in our sub-region is still via surgical intervention. Currently, the gold standard of treatment is non-operative reduction. We sought to assess the suitability of hydrostatic (saline) reduction of intussusception in children in our institution. Materials and methods A prospective study was conducted between January 2016 and June 2017 in all children with ultrasound confirmed intussusception at a tertiary teaching hospital in Nigeria. All children excluding those with signs of peritonitis, bowel gangrene and intestinal prolapse were selected for ultrasound-guided hydrostatic reduction (USGHR). We allowed a maximum of three attempts at reduction. Results The age range was 3 months to 48 months with a mean of 10.8 ± 9.1 months. Forty percent (N = 18) presented after 24 h of onset of symptoms. The success rate of hydrostatic reduction with saline enema was 84.4% (N = 38). Two (4.4%) perforations occurred during the procedure. Three (7.5%) patients had recurrent intussusception within six months. The duration of symptoms greater than 24 h, age and sex of patients did not influence successful reduction p > 0.05. The duration of admission between those who had successful non-operative reduction and those who subsequently had operative reduction and or resection attained statistical significant difference, p = 0.001. There was no mortality. We achieved a 68% decrease in the operative reduction of intussusception using USGHR as the primary modality of treatment. Conclusion Our study found out that USGHR is a suitable alternative for the treatment of childhood intussusception. |
| first_indexed | 2024-12-23T02:59:35Z |
| format | Article |
| id | doaj.art-17b133aadc5147b0b2313d2fbe615fc0 |
| institution | Directory Open Access Journal |
| issn | 1471-227X |
| language | English |
| last_indexed | 2024-12-23T02:59:35Z |
| publishDate | 2018-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj.art-17b133aadc5147b0b2313d2fbe615fc02022-12-21T18:02:28ZengBMCBMC Emergency Medicine1471-227X2018-11-011811710.1186/s12873-018-0196-zSonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective studyAdemola Olusegun Talabi0Olusola Comfort Famurewa1Kayode Taiwo Bamigbola2Oludayo Adedapo Sowande3Babalola Ishmael Afolabi4Olusanya Adejuyigbe5Department of Surgery, Obafemi Awolowo UniversityDepartment of Radiology, Obafemi Awolowo UniversityDepartment of Surgery, Federal Medical CentreDepartment of Surgery, Obafemi Awolowo UniversityDepartment of Radiology, Obafemi Awolowo UniversityDepartment of Surgery, Obafemi Awolowo UniversityAbstract Background The management of childhood intussusception in our sub-region is still via surgical intervention. Currently, the gold standard of treatment is non-operative reduction. We sought to assess the suitability of hydrostatic (saline) reduction of intussusception in children in our institution. Materials and methods A prospective study was conducted between January 2016 and June 2017 in all children with ultrasound confirmed intussusception at a tertiary teaching hospital in Nigeria. All children excluding those with signs of peritonitis, bowel gangrene and intestinal prolapse were selected for ultrasound-guided hydrostatic reduction (USGHR). We allowed a maximum of three attempts at reduction. Results The age range was 3 months to 48 months with a mean of 10.8 ± 9.1 months. Forty percent (N = 18) presented after 24 h of onset of symptoms. The success rate of hydrostatic reduction with saline enema was 84.4% (N = 38). Two (4.4%) perforations occurred during the procedure. Three (7.5%) patients had recurrent intussusception within six months. The duration of symptoms greater than 24 h, age and sex of patients did not influence successful reduction p > 0.05. The duration of admission between those who had successful non-operative reduction and those who subsequently had operative reduction and or resection attained statistical significant difference, p = 0.001. There was no mortality. We achieved a 68% decrease in the operative reduction of intussusception using USGHR as the primary modality of treatment. Conclusion Our study found out that USGHR is a suitable alternative for the treatment of childhood intussusception.http://link.springer.com/article/10.1186/s12873-018-0196-zChildhood intussusceptionHydrostatic reductionSalineUltrasound-guided |
| spellingShingle | Ademola Olusegun Talabi Olusola Comfort Famurewa Kayode Taiwo Bamigbola Oludayo Adedapo Sowande Babalola Ishmael Afolabi Olusanya Adejuyigbe Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study BMC Emergency Medicine Childhood intussusception Hydrostatic reduction Saline Ultrasound-guided |
| title | Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study |
| title_full | Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study |
| title_fullStr | Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study |
| title_full_unstemmed | Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study |
| title_short | Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study |
| title_sort | sonographic guided hydrostatic saline enema reduction of childhood intussusception a prospective study |
| topic | Childhood intussusception Hydrostatic reduction Saline Ultrasound-guided |
| url | http://link.springer.com/article/10.1186/s12873-018-0196-z |
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