All issues > Volume 34(12); 1991

Original Article

J Korean Pediatr Soc. 1991;34(12):1678-1682. Published online December 31, 1991.

Saline reduction of intussusception under ultrasound guidance.

Min Hyea Kim¹, Jung Weon Seo¹, Sung Joo Lee¹

¹Department of Pediatrics, College of Medicine, Ewha Women fs University, Seoul, Korea

Received: June 22, 1991;  Accepted: August 23, 1991.

Abstract

Intussusception is the most common cause of acquired intestinal obstruction and requires emer- gency treatment. Recently, saline reduction under the ultrasound guidance has been successful as a diagnostic and therapeutic tool of intussusception. It is a simple, rapid, noninvasive, painless procedure without risk of radiation. We compared the result of saline reduction in 54 cases with that of barium reduction in 104 cases from January, 1988 to July, 1989. The results were as follows, 1) The successful rate of saline reduction was 87% which is not significant compared to 86% of barium reduction. 2) The recurrent rate of saline reduction was 15% which is not significant compared to 14% for barium reduction. Therefore it is expected that hydrostatic saline reduction under the ultrasound guidance can replace the barium reduction as a treatment of choice of hildhood intussusception.

Keywords :Intussusception;Saline reduction;Ultrasound;Barium reduction