Intussusception is an important cause of small bowel obstruction in children. Non-operative reduction (NOR) is the preferable method of treatment to start with as long as there are no contraindications to its use and where facilities are available. Pneumatic reduction has become a popular therapeutic method for intussusception instead of surgery in many centers. The current study aim to evaluate the success rate of ultrasound guided pneumatic reduction of intussusception and verifying the factors affecting its efficacy as initial experience in Baghdad. A prospective study of 56 eligible patients with confirmed intussusception managed over the period of eighteen months from March 2016 to September 2017 in Baghdad. The procedure was performed under ultrasound guidance after adequate resuscitation. Those patients with unsuccessful first attempt of pneumatic reduction were subjected to second and third attempts before surgical intervention performed. a total 39 male and 17 female were found suitable for pneumatic reduction under ultrasound guide. Successful reduction by air insufflation was achieved in 44 patients (78.5%), whereas the procedure was failed in the remaining 12 patients (21.4%). There were only two out of 44 patients (4.5%) with successful reduction developed early recurrence of intussusception. One patient (2.27%) developed intestinal perforation. Pneumatic reduction of intussusception under ultrasound guidance is a quick, safe, simple, with a high success rate, radiation-sparing effect. Success rate is highly affected by the duration of symptoms and location of mass. The procedure is not devoid of recurrence risk and possibility of developing pneumoperitoneum.
| Published in | American Journal of Pediatrics (Volume 3, Issue 6) |
| DOI | 10.11648/j.ajp.20170306.13 |
| Page(s) | 76-82 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Intussusception, Pneumatic Reduction, Ultrasonography
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APA Style
Ali Egab Joda, Waad Muhammad Salih, Nawzat Hussein Shakarly. (2017). Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad. American Journal of Pediatrics, 3(6), 76-82. https://doi.org/10.11648/j.ajp.20170306.13
ACS Style
Ali Egab Joda; Waad Muhammad Salih; Nawzat Hussein Shakarly. Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad. Am. J. Pediatr. 2017, 3(6), 76-82. doi: 10.11648/j.ajp.20170306.13
AMA Style
Ali Egab Joda, Waad Muhammad Salih, Nawzat Hussein Shakarly. Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad. Am J Pediatr. 2017;3(6):76-82. doi: 10.11648/j.ajp.20170306.13
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Download@article{10.11648/j.ajp.20170306.13,
author = {Ali Egab Joda and Waad Muhammad Salih and Nawzat Hussein Shakarly},
title = {Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad},
journal = {American Journal of Pediatrics},
volume = {3},
number = {6},
pages = {76-82},
doi = {10.11648/j.ajp.20170306.13},
url = {https://doi.org/10.11648/j.ajp.20170306.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20170306.13},
abstract = {Intussusception is an important cause of small bowel obstruction in children. Non-operative reduction (NOR) is the preferable method of treatment to start with as long as there are no contraindications to its use and where facilities are available. Pneumatic reduction has become a popular therapeutic method for intussusception instead of surgery in many centers. The current study aim to evaluate the success rate of ultrasound guided pneumatic reduction of intussusception and verifying the factors affecting its efficacy as initial experience in Baghdad. A prospective study of 56 eligible patients with confirmed intussusception managed over the period of eighteen months from March 2016 to September 2017 in Baghdad. The procedure was performed under ultrasound guidance after adequate resuscitation. Those patients with unsuccessful first attempt of pneumatic reduction were subjected to second and third attempts before surgical intervention performed. a total 39 male and 17 female were found suitable for pneumatic reduction under ultrasound guide. Successful reduction by air insufflation was achieved in 44 patients (78.5%), whereas the procedure was failed in the remaining 12 patients (21.4%). There were only two out of 44 patients (4.5%) with successful reduction developed early recurrence of intussusception. One patient (2.27%) developed intestinal perforation. Pneumatic reduction of intussusception under ultrasound guidance is a quick, safe, simple, with a high success rate, radiation-sparing effect. Success rate is highly affected by the duration of symptoms and location of mass. The procedure is not devoid of recurrence risk and possibility of developing pneumoperitoneum.},
year = {2017}
}
TY - JOUR T1 - Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad AU - Ali Egab Joda AU - Waad Muhammad Salih AU - Nawzat Hussein Shakarly Y1 - 2017/11/10 PY - 2017 N1 - https://doi.org/10.11648/j.ajp.20170306.13 DO - 10.11648/j.ajp.20170306.13 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 76 EP - 82 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20170306.13 AB - Intussusception is an important cause of small bowel obstruction in children. Non-operative reduction (NOR) is the preferable method of treatment to start with as long as there are no contraindications to its use and where facilities are available. Pneumatic reduction has become a popular therapeutic method for intussusception instead of surgery in many centers. The current study aim to evaluate the success rate of ultrasound guided pneumatic reduction of intussusception and verifying the factors affecting its efficacy as initial experience in Baghdad. A prospective study of 56 eligible patients with confirmed intussusception managed over the period of eighteen months from March 2016 to September 2017 in Baghdad. The procedure was performed under ultrasound guidance after adequate resuscitation. Those patients with unsuccessful first attempt of pneumatic reduction were subjected to second and third attempts before surgical intervention performed. a total 39 male and 17 female were found suitable for pneumatic reduction under ultrasound guide. Successful reduction by air insufflation was achieved in 44 patients (78.5%), whereas the procedure was failed in the remaining 12 patients (21.4%). There were only two out of 44 patients (4.5%) with successful reduction developed early recurrence of intussusception. One patient (2.27%) developed intestinal perforation. Pneumatic reduction of intussusception under ultrasound guidance is a quick, safe, simple, with a high success rate, radiation-sparing effect. Success rate is highly affected by the duration of symptoms and location of mass. The procedure is not devoid of recurrence risk and possibility of developing pneumoperitoneum. VL - 3 IS - 6 ER -
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