Management of intussusception in the era of ultrasound-guided hydrostatic reduction: A 3-year experience from a tertiary care center

Conclusion: HSR is a safe and effective treatment modality for intussusception. However, it is met with higher failure rates in patients with risk factors such as delayed presentation, appearance of crescent on USG, and length >10 cm. The role of HSR is also dubious in situations such as neonatal intussusception, small-bowel intussusception, and multiple intussusceptions and also in preventing the future recurrence. Such patients ought to be managed by laparotomy or where feasible by laparoscopy. Furthermore, before embarking on HSR, peritonitis and bowel ischemia should be ruled out clinically and radiologically. In the suspicious cases of bowel ischemia, USG Doppler may be helpful.

Source: Journal of Indian Association of Pediatric Surgeons - January 27, 2020 Category: Surgery Authors: Mir Fahiem-Ul-Hassan Gowhar N Mufti Nisar A Bhat Aejaz A Baba Mudassir Buchh Sajad A Wani Shahid Banday Mudassir Magray Atif Nayeem Sikandar Iqbal Source Type: research