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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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Autores principales: Chukwubuike, Kevin Emeka, Nduagubam, Obinna Chukwuebuka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2020
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.
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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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