García C, Flores P, Zúñiga S, Accorsi E, Monsalva R, Lastra M, Montes P
Departamento de Radiología, Hospital Clínico Universidad Católica, Santiago.
Rev Med Chil. 1997 Jan;125(1):54-61.
Intestinal intussusception, a medical emergency, is more commonly idiopathic and ileocolic and occurs with higher frequency in children aged 6 months to 2 years. Barium enema confirms the diagnosis and allows its hydrostatic reduction, that is the treatment of choice of this condition.
To report our experience with hydrostatic reduction of intestinal intussusception in children.
Hydrostatic reduction was attempted in 43 children with intestinal intussusception: 20 male, aged 2 to 48 months, that consulted at the Clinical Hospital of the Catholic University in Santiago.
Hydrostatic reduction was successful in 33 children (77%) that were discharged from the hospital 24 to 96 hours after the procedure. A partial reduction was achieved in 10 patients (23%) who required surgery and were discharged from the hospital 5 to 8 days after the procedure.
Our results are similar to those reported abroad and allow the recommendation of hydrostatic reduction as the treatment of choice for intestinal intussusception.
肠套叠是一种医疗急症，更常见的是特发性回结肠型，在6个月至2岁的儿童中发病率较高。钡剂灌肠可确诊并进行水压复位，这是该病症的首选治疗方法。
报告我们对儿童肠套叠水压复位的经验。
对43例肠套叠患儿尝试进行水压复位：20例男性，年龄2至48个月，在圣地亚哥天主教大学临床医院就诊。
33例患儿（77%）水压复位成功，术后24至96小时出院。10例患者（23%）部分复位，需要手术治疗，术后5至8天出院。
我们的结果与国外报道的相似，支持将水压复位作为肠套叠的首选治疗方法。
