A Simple and Safe Technique for Pneumatic Reduction of Intussusception
Pneumatic reduction has a higher success rate and lower incidence of complications compared to barium enema and hydrostatic reductions. What is deterrent to its common use is the cumbersome technique. Our aim is to develop a simple technique that can be used in any hospital with locally available fa...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2006-07-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958409600804 |
| _version_ | 1818548458760437760 |
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| author | Mohan K. Abraham M.G. Joy Sunil S. Menon S. Bindu P. Ramakrishnan |
| author_facet | Mohan K. Abraham M.G. Joy Sunil S. Menon S. Bindu P. Ramakrishnan |
| author_sort | Mohan K. Abraham |
| collection | DOAJ |
| description | Pneumatic reduction has a higher success rate and lower incidence of complications compared to barium enema and hydrostatic reductions. What is deterrent to its common use is the cumbersome technique. Our aim is to develop a simple technique that can be used in any hospital with locally available facilities.
Methods: An intercostal drainage bottle and an enema can were used to pass air into the rectum at a controlled pressure determined by the height of the enema can. Water running in from the enema can displaces the air in the intercostal drainage bottle into the rectum effecting the reduction of intussusception.
Results: This system was tried in 12 patients. Successful air delivery was obtained in all cases. In two cases, the intussusception could not be reduced. Laparotomy revealed these to be ileoileal intussusceptions.
Conclusion: The technique described is easy to assemble, safe and effective. We recommend it for regular use in pneumatic reduction of intussusception. |
| first_indexed | 2024-12-12T08:20:13Z |
| format | Article |
| id | doaj.art-985cbe100f784b49ad2e556284a8e8ed |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-12T08:20:13Z |
| publishDate | 2006-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-985cbe100f784b49ad2e556284a8e8ed2022-12-22T00:31:25ZengElsevierAsian Journal of Surgery1015-95842006-07-0129317017210.1016/S1015-9584(09)60080-4A Simple and Safe Technique for Pneumatic Reduction of IntussusceptionMohan K. AbrahamM.G. JoySunil S. MenonS. BinduP. RamakrishnanPneumatic reduction has a higher success rate and lower incidence of complications compared to barium enema and hydrostatic reductions. What is deterrent to its common use is the cumbersome technique. Our aim is to develop a simple technique that can be used in any hospital with locally available facilities. Methods: An intercostal drainage bottle and an enema can were used to pass air into the rectum at a controlled pressure determined by the height of the enema can. Water running in from the enema can displaces the air in the intercostal drainage bottle into the rectum effecting the reduction of intussusception. Results: This system was tried in 12 patients. Successful air delivery was obtained in all cases. In two cases, the intussusception could not be reduced. Laparotomy revealed these to be ileoileal intussusceptions. Conclusion: The technique described is easy to assemble, safe and effective. We recommend it for regular use in pneumatic reduction of intussusception.http://www.sciencedirect.com/science/article/pii/S1015958409600804air enemaintussusceptionpneumatic reduction |
| spellingShingle | Mohan K. Abraham M.G. Joy Sunil S. Menon S. Bindu P. Ramakrishnan A Simple and Safe Technique for Pneumatic Reduction of Intussusception Asian Journal of Surgery air enema intussusception pneumatic reduction |
| title | A Simple and Safe Technique for Pneumatic Reduction of Intussusception |
| title_full | A Simple and Safe Technique for Pneumatic Reduction of Intussusception |
| title_fullStr | A Simple and Safe Technique for Pneumatic Reduction of Intussusception |
| title_full_unstemmed | A Simple and Safe Technique for Pneumatic Reduction of Intussusception |
| title_short | A Simple and Safe Technique for Pneumatic Reduction of Intussusception |
| title_sort | simple and safe technique for pneumatic reduction of intussusception |
| topic | air enema intussusception pneumatic reduction |
| url | http://www.sciencedirect.com/science/article/pii/S1015958409600804 |
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