Success with hydrostatic reduction of intussusception in relation to duration of symptoms.

van den Ende, E D; Allema, J H; Hazebroek, F W J; Breslau, P J · Arch Dis Child · 2005

prospective_cohort · Level II

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Abstract

It is widely believed that hydrostatic reduction of intussusception is less successful in children with prolonged symptoms prior to presentation. To prospectively evaluate success in relation to duration of symptoms. Prospective study in which children, regardless of symptom duration, underwent an attempt at hydrostatic reduction. Of 113 children presenting with intussusception, 16 had peritonitis and required immediate laparotomy. A hydrostatic reduction was attempted in 97 and was successful in 77 (79%). There were 26 successful reductions with symptoms <12 hours (81%), 30 with symptoms for 12-24 hours (81%), and 21 with symptoms >24 hours (75%). The success rate with hydrostatic reduction was not significantly influenced by symptom duration.

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