Department of Pediatric Surgery, Ondokuz Mayis University Medical Faculty, Samsun, Turkey.
Department of Pediatric Radiology, Ondokuz Mayis University Medical Faculty, Samsun, Turkey.
Acta Chir Belg. 2022 Aug;122(4):248-252. doi: 10.1080/00015458.2021.1900521. Epub 2021 Mar 18.
To evaluate the results of ultrasonography-guided hydrostatic reduction in primary and recurrent ileo-colic intussusception in children.
The children (<18 years of age) who were managed for ileo-colic intussusception between January 2015 and December 2018 were evaluated retrospectively. Age, gender, presenting complaints, length of the intussuscepted segment, presence of lead point, treatment modalities, recurrence rates and duration of recurrence were evaluated.
108 patients with ileo-colic intussusception were enrolled in the study; 59 were male and 49 were female with a mean age of 2.04 ± 1.71 years. Two patients underwent immediate surgery without any attempt of hydrostatic reduction. Nineteen patients (18%) were managed by conservative measures initially. Seventeen (89.5%) of them have recovered with expectant management and two patients required hydrostatic enema reduction during follow-up. In total, 89 patients underwent hydrostatic reduction; 48 were male and 41were female with a mean age of 1.9 ± 1.65 years. Twelve patients (13.5%) received surgery after failed hydrostatic reduction. In the patients with successful hydrostatic reduction, one more episode of intussusception is seen in 10 patients (13%) and 2 additional episodes in 2 (2.6%). Seven patients with relapse were male and 5 were female with a mean age of 1.16 ± 1.64 years. The median duration of the first relapse episode was 67.5 days (range 18-110 days). The ultrasound-guided hydrostatic reduction was also successful in patients with recurrence.
Ultrasound-guided hydrostatic reduction is a non-invasive treatment of ileo-colic intussusception with high success rates in childhood. It can be performed safely in both initial and relapse episodes of intussusception.
评估超声引导下水压复位治疗儿童原发性和复发性回盲肠肠套叠的效果。
回顾性分析 2015 年 1 月至 2018 年 12 月期间收治的小儿回盲肠肠套叠患者。评估年龄、性别、首发症状、套叠段长度、有无套叠头、治疗方式、复发率及复发时间。
共纳入 108 例回盲肠肠套叠患儿，男 59 例，女 49 例，平均年龄 2.04±1.71 岁。2 例患儿未行水压复位直接行手术治疗。19 例（18%）患儿初始予保守治疗。其中 17 例（89.5%）经期待治疗痊愈，2 例在随访过程中需要水压灌肠复位。共 89 例行水压复位，男 48 例，女 41 例，平均年龄 1.9±1.65 岁。12 例（13.5%）患儿水压复位失败后行手术治疗。水压复位成功的患儿中，10 例（13%）出现 1 次再发，2 例（2.6%）出现 2 次再发。7 例复发患儿中男 7 例，女 5 例，平均年龄 1.16±1.64 岁。第 1 次复发的中位时间为 67.5 天（18~110 天）。超声引导下水压复位对复发患儿同样有效。
超声引导下水压复位治疗小儿回盲肠肠套叠成功率高，为非侵入性治疗方法，可安全用于初始发作和复发发作。
