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Hydrostatic reduction of intussusception in children: a single centre experience
INTRODUCTION: intussusception is a common surgical emergency in children especially in infants. Treatment of intussusception could be non-operative or operative. Non-operative treatment (hydrostatic reduction) of intussusception is increasingly being practiced in developing countries. METHODS: this...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7546016/ https://www.ncbi.nlm.nih.gov/pubmed/33088392 http://dx.doi.org/10.11604/pamj.2020.36.263.21380 |
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author | Chukwubuike, Kevin Emeka Nduagubam, Obinna Chukwuebuka |
author_facet | Chukwubuike, Kevin Emeka Nduagubam, Obinna Chukwuebuka |
author_sort | Chukwubuike, Kevin Emeka |
collection | PubMed |
description | INTRODUCTION: intussusception is a common surgical emergency in children especially in infants. Treatment of intussusception could be non-operative or operative. Non-operative treatment (hydrostatic reduction) of intussusception is increasingly being practiced in developing countries. METHODS: this was a review of our experience in the hydrostatic reduction of intussusception in children at a teaching hospital in Enugu, Nigeria. This study covered an 18-months period, October 2017 to March 2019. Patients on presentation were resuscitated, appropriate investigations done and prepared for surgery before the hydrostatic reduction (using normal saline) was carried out. Patients with features of peritonitis and marked abdominal distension were excluded from hydrostatic reduction. RESULTS: twenty patients who had 21 episodes of intussusception were analyzed. One patient had a recurrence that necessitated repeat hydrostatic reduction. Eighty percent of the patients were male. The mean and peak age of the patients was 8 months and 6 months respectively. Significant number of the patients presented after 48 hours of onset of their symptoms. Abdominal pain was the predominant presenting symptom. Twenty percent and fifteen percent of the patients had a history of preceding gastrointestinal and respiratory infections preceding the intussusception respectively. Ileocolic intussusception was the most common type and the most distal end of the intussusception was at the transverse colon. Hydrostatic reduction was successful in 13 patients (65%). CONCLUSION: hydrostatic reduction is a simple and effective method of treatment of intussusception. However, early presentation and proper patient selection is necessary for optimal outcome. |
format | Online Article Text |
id | pubmed-7546016 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-75460162020-10-20 Hydrostatic reduction of intussusception in children: a single centre experience Chukwubuike, Kevin Emeka Nduagubam, Obinna Chukwuebuka Pan Afr Med J Research INTRODUCTION: intussusception is a common surgical emergency in children especially in infants. Treatment of intussusception could be non-operative or operative. Non-operative treatment (hydrostatic reduction) of intussusception is increasingly being practiced in developing countries. METHODS: this was a review of our experience in the hydrostatic reduction of intussusception in children at a teaching hospital in Enugu, Nigeria. This study covered an 18-months period, October 2017 to March 2019. Patients on presentation were resuscitated, appropriate investigations done and prepared for surgery before the hydrostatic reduction (using normal saline) was carried out. Patients with features of peritonitis and marked abdominal distension were excluded from hydrostatic reduction. RESULTS: twenty patients who had 21 episodes of intussusception were analyzed. One patient had a recurrence that necessitated repeat hydrostatic reduction. Eighty percent of the patients were male. The mean and peak age of the patients was 8 months and 6 months respectively. Significant number of the patients presented after 48 hours of onset of their symptoms. Abdominal pain was the predominant presenting symptom. Twenty percent and fifteen percent of the patients had a history of preceding gastrointestinal and respiratory infections preceding the intussusception respectively. Ileocolic intussusception was the most common type and the most distal end of the intussusception was at the transverse colon. Hydrostatic reduction was successful in 13 patients (65%). CONCLUSION: hydrostatic reduction is a simple and effective method of treatment of intussusception. However, early presentation and proper patient selection is necessary for optimal outcome. The African Field Epidemiology Network 2020-08-11 /pmc/articles/PMC7546016/ /pubmed/33088392 http://dx.doi.org/10.11604/pamj.2020.36.263.21380 Text en Copyright: Kevin Emeka Chukwubuike et al. https://creativecommons.org/licenses/by/4.0 The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Chukwubuike, Kevin Emeka Nduagubam, Obinna Chukwuebuka Hydrostatic reduction of intussusception in children: a single centre experience |
title | Hydrostatic reduction of intussusception in children: a single centre experience |
title_full | Hydrostatic reduction of intussusception in children: a single centre experience |
title_fullStr | Hydrostatic reduction of intussusception in children: a single centre experience |
title_full_unstemmed | Hydrostatic reduction of intussusception in children: a single centre experience |
title_short | Hydrostatic reduction of intussusception in children: a single centre experience |
title_sort | hydrostatic reduction of intussusception in children: a single centre experience |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7546016/ https://www.ncbi.nlm.nih.gov/pubmed/33088392 http://dx.doi.org/10.11604/pamj.2020.36.263.21380 |
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