OUTCOME AND DETERMINANTS OF HYDROSTATIC REDUCTION OF INTUSSUSCEPTION UNDER USG GUIDANCE

Dr Adya Kinkar Panda; Dr Pravakar Bahinipati; Dr Abhijeet Joshi

Volume : VIII, Issue : III, March - 2018

OUTCOME AND DETERMINANTS OF HYDROSTATIC REDUCTION OF INTUSSUSCEPTION UNDER USG GUIDANCE

Dr Adya Kinkar Panda, Dr Pravakar Bahinipati, Dr Abhijeet Joshi

Abstract :

Background: Intussusception is a common cause of acute intestinal obstruction sometimes causing serious complications. The treatment of choice is an attempt at initial non–operative treatment.

Aim: The purpose of the study was to evaluate the efficacy of hydrostatic reduction of intussusception using saline enema and ultrasound being practiced in our institute; the secondary goal was to identify the subset of patient in which it is more successful.

Material and Methods : The case records of pediatric patients treated for intussusception in our institute from 1^st October 2015 to 30 September 2017 were retrospectively analyzed to collect information. All patients showing ultrasound diagnosed intussusception that were not having signs of shock or peritonitis were treated with normal saline enema under ultrasound guidance. Failure of three such attempts was an indication for operative management.

Result and Conclusions: We found that this technique is easy, safe and extremely effective in treating intussusception in children. The success rate was 80.7% (42 out of 52 cases) and mortality rate was 1.%. Ileoileocolic type of intussusception failed enema reduction more often (statistically significant; P value = 0.0032) while older patients (statistically significant, P value = 0.001) had higher success rates with the technique. Patients who had colocolic type of intussusception (P value = 0.29) and patients who present early (P value = 0.262) appear to have higher success rates