Comparative Study between Hydrostatic Reduction of Infantile Intussusception by Saline and Air Under Sonographic Guidance in Assiut University Hospital

AHMED T. ZAYAN, M.D., AHMED R. ABD EL-MEGEED, M.Sc.;; ALMOATAZ A. EL-TAYEB, M.D., ABDALLAH B. ABDALLAH, M.D.;

doi:10.21608/mjcu.2018.56272

Comparative Study between Hydrostatic Reduction of Infantile Intussusception by Saline and Air Under Sonographic Guidance in Assiut University Hospital

Document Type : Original Article

Authors

The Department of General Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt

10.21608/mjcu.2018.56272

Abstract

Abstract
Background: Intussusception is the invagination of one bowel segment into another, Once the diagnosis is settled, reduction of intussusception is an emergency procedure to be carried out immediately, reduction is done either by saline or air enema [1].
Patients and Methods: Our study included 40 cases with infantile intussusception to evaluate the safety and efficacy of reduction of intussusception by using either air (group A) or saline enema reduction (group B) from November 2016 till April 2017 in General Surgery Department, Assiut Univer-sity Hospital.
Results: Successful reduction was achieved in 90% of group A (pneumatic reduction) and 85% of group B (hydrostatic reduction ), group A show less complication rate than group B as there is only one perforated cases in group A while 2 perfoation in group B.
Conclusion: Pneumatic reduction under US guidance avoid the exposure to radiation as with fluoroscopy and also can identify if there is any recurrence or resuidal intussuception. Pneumatic reduction is safe in 95% of cases and effective method of reduction of intussusception with less complication rate than that with hydrostatic reduction.

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