Radiology, Vol 182, 77-80, Copyright © 1992 by Radiological Society of North America

ARTICLES

Childhood intussusception: US-guided hydrostatic reduction

SK Wood, JS Kim, SJ Suh, TW Paik and SO Choi
Department of Radiology, Keimyung University School of Medicine, Chungku, Taegu, Korea.

Over a 30-month period, real-time ultrasound (US) was performed in 116 children with suspected intussusception. US findings were positive in all 75 cases of intussusception. Except in one case of transient small- bowel intussusception, the authors immediately attempted US-guided hydrostatic reduction in all cases. Reduction was successful in 63 cases (85%), as demonstrated with US and resolution of signs and symptoms of intussusception. Negative sonograms were confirmed with clinical follow-up. Among 11 failed cases, reduction with barium enema was attempted in six, but all attempts failed. No complications have occurred to date. The authors conclude that US is a reliable diagnostic screening modality in cases of suspected intussusception and that US- guided hydrostatic reduction is a promising technique in nonoperative treatment.

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