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Arch Dis Child. 2005 Oct;90(10):1071-2. Epub 2005 Jun 7.

Success with hydrostatic reduction of intussusception in relation to duration of symptoms.

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  • 1Red Cross and Juliana Children's Hospital, The Hague, Netherlands.

Abstract

BACKGROUND:

It is widely believed that hydrostatic reduction of intussusception is less successful in children with prolonged symptoms prior to presentation.

AIM:

To prospectively evaluate success in relation to duration of symptoms.

METHODS:

Prospective study in which children, regardless of symptom duration, underwent an attempt at hydrostatic reduction.

RESULTS:

Of 113 children presenting with intussusception, 16 had peritonitis and required immediate laparotomy. A hydrostatic reduction was attempted in 97 and was successful in 77 (79%). There were 26 successful reductions with symptoms <12 hours (81%), 30 with symptoms for 12-24 hours (81%), and 21 with symptoms >24 hours (75%).

CONCLUSION:

The success rate with hydrostatic reduction was not significantly influenced by symptom duration.

PMID:
15941773
[PubMed - indexed for MEDLINE]
PMCID:
PMC1720110
Free PMC Article
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