Ultrasound guided pneumatic reduction of intussusception:Aclinical experience from Baghdad
Author(s): Loay Saleh Salman*, Basil Shanshool Radhi and Mohammed R Saleem
Abstract
Background: 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 & where facilities are available. Pneumatic reduction has become a popular therapeutic method for intussusception instead of surgery in many centers. Objective: To evaluate the success rate of ultrasound guided pneumatic reduction of intussusception and verifying the factors affecting its efficacy as initial experience in Baghdad. Patients and Methods: 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 & third attempts before surgical intervention performed. Results: 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. Conclusion: 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 & location of mass. The procedure is not devoid of recurrence risk & possibility of developing tension pneumoperitoneum.