Abstract

HERNANDEZ MOORE, Elizabeth et al. Ultrasound-guided saline solution reduction of intussusceptions. AMC [online]. 2005, vol.9, n.6, pp.56-69. ISSN 1025-0255.

A cohort retrospective study was conducted from 2001 to 2004 at the Eduardo Agramonte Piña Provincial Children′ s Hospital, City of Camagüey, to assess the effectiveness and safety of intestine invagination in children through saline solution hydrostatic reduction under sonographic guidance. The study was compared to the results of surgical treatment during the previous five years. 49 invaginations in patients in 44 patients aged 3 months to 23 months (from the group that met the criterium for inclusion for hydrostatic reduction) were diagnosed through clinic and sonography, of them 38(77, 55 %) were reduced. The reduction rate in patients with less than a 24 hour evolution was 78, 79 % whereas in patients with a 24 to 48 hour evolution the reduction rate was 75 %. No significant differences between the reduction rate in both groups (P>0.05) was evident 68, 42 % of reduced intussusceptions were successful from the first trial 11 patients (22, 45 %) were operated on due to irreductibility. All of 5 recurrencies (11, 36 %) that look place were treated successfully. No complications arose during or after hydrostatic reduction. Within the controls being treated surgically in the previous 5 years in the complication rate was (22, 44 %) most of complications were incision related. Ultrasound guided saline solution hydrostatic reduction is an effective safe and method for the treatment of intussusception given its reduction rate within the first 40 hours, its low complication rate (as compared to surgical treatment), and its zero rate of exposure to ionizing radiations.

Keywords : INTUSUSCEPCIÓN [cirugía]; INTUSUSCEPCIÓN [ultrasonografía]; INTUSSUSCEPTION [surgery]; INTUSSUSCEPTION [ultrasonography].

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