Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad

Ali Egab Joda; Waad Muhammad Salih; Nawzat Hussein Shakarly

doi:doi:10.11648/j.ajp.20170306.13

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Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad

Ali Egab Joda, Waad Muhammad Salih, Nawzat Hussein Shakarly

Published in American Journal of Pediatrics (Volume 3, Issue 6)

Received: 10 September 2017 Accepted: 28 September 2017 Published: 10 November 2017

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Abstract

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 and where facilities are available. Pneumatic reduction has become a popular therapeutic method for intussusception instead of surgery in many centers. The current study aim to evaluate the success rate of ultrasound guided pneumatic reduction of intussusception and verifying the factors affecting its efficacy as initial experience in Baghdad. 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 and third attempts before surgical intervention performed. 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. 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 and location of mass. The procedure is not devoid of recurrence risk and possibility of developing pneumoperitoneum.

Published in	American Journal of Pediatrics (Volume 3, Issue 6)
DOI	10.11648/j.ajp.20170306.13
Page(s)	76-82
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Intussusception, Pneumatic Reduction, Ultrasonography

References

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APA Style

Ali Egab Joda, Waad Muhammad Salih, Nawzat Hussein Shakarly. (2017). Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad. American Journal of Pediatrics, 3(6), 76-82. https://doi.org/10.11648/j.ajp.20170306.13

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ACS Style

Ali Egab Joda; Waad Muhammad Salih; Nawzat Hussein Shakarly. Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad. Am. J. Pediatr. 2017, 3(6), 76-82. doi: 10.11648/j.ajp.20170306.13

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AMA Style

Ali Egab Joda, Waad Muhammad Salih, Nawzat Hussein Shakarly. Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad. Am J Pediatr. 2017;3(6):76-82. doi: 10.11648/j.ajp.20170306.13

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@article{10.11648/j.ajp.20170306.13,
  author = {Ali Egab Joda and Waad Muhammad Salih and Nawzat Hussein Shakarly},
  title = {Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad},
  journal = {American Journal of Pediatrics},
  volume = {3},
  number = {6},
  pages = {76-82},
  doi = {10.11648/j.ajp.20170306.13},
  url = {https://doi.org/10.11648/j.ajp.20170306.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20170306.13},
  abstract = {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 and where facilities are available. Pneumatic reduction has become a popular therapeutic method for intussusception instead of surgery in many centers. The current study aim to evaluate the success rate of ultrasound guided pneumatic reduction of intussusception and verifying the factors affecting its efficacy as initial experience in Baghdad. 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 and third attempts before surgical intervention performed. 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. 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 and location of mass. The procedure is not devoid of recurrence risk and possibility of developing pneumoperitoneum.},
 year = {2017}
}

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TY - JOUR
T1 - Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad
AU - Ali Egab Joda
AU - Waad Muhammad Salih
AU - Nawzat Hussein Shakarly
Y1 - 2017/11/10
PY - 2017
N1 - https://doi.org/10.11648/j.ajp.20170306.13
DO - 10.11648/j.ajp.20170306.13
T2 - American Journal of Pediatrics
JF - American Journal of Pediatrics
JO - American Journal of Pediatrics
SP - 76
EP - 82
PB - Science Publishing Group
SN - 2472-0909
UR - https://doi.org/10.11648/j.ajp.20170306.13
AB - 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 and where facilities are available. Pneumatic reduction has become a popular therapeutic method for intussusception instead of surgery in many centers. The current study aim to evaluate the success rate of ultrasound guided pneumatic reduction of intussusception and verifying the factors affecting its efficacy as initial experience in Baghdad. 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 and third attempts before surgical intervention performed. 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. 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 and location of mass. The procedure is not devoid of recurrence risk and possibility of developing pneumoperitoneum.
VL - 3
IS - 6
ER -

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Author Information

Ali Egab Joda

Department of Surgery, Mustansiriyah Medical College, Baghdad, Iraq; Department of Pediatric Surgery, Central Child Teaching Hospital, Baghdad, Iraq
Waad Muhammad Salih

Department of Pediatric Surgery, Central Child Teaching Hospital, Baghdad, Iraq
Nawzat Hussein Shakarly

Department of Pediatric Surgery, Central Child Teaching Hospital, Baghdad, Iraq

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APA Style

Ali Egab Joda, Waad Muhammad Salih, Nawzat Hussein Shakarly. (2017). Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad. American Journal of Pediatrics, 3(6), 76-82. https://doi.org/10.11648/j.ajp.20170306.13

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ACS Style

Ali Egab Joda; Waad Muhammad Salih; Nawzat Hussein Shakarly. Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad. Am. J. Pediatr. 2017, 3(6), 76-82. doi: 10.11648/j.ajp.20170306.13

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AMA Style

Ali Egab Joda, Waad Muhammad Salih, Nawzat Hussein Shakarly. Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad. Am J Pediatr. 2017;3(6):76-82. doi: 10.11648/j.ajp.20170306.13

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@article{10.11648/j.ajp.20170306.13,
  author = {Ali Egab Joda and Waad Muhammad Salih and Nawzat Hussein Shakarly},
  title = {Ultrasound Guided Pneumatic Reduction of Intussusception: A Clinical Experience from Baghdad},
  journal = {American Journal of Pediatrics},
  volume = {3},
  number = {6},
  pages = {76-82},
  doi = {10.11648/j.ajp.20170306.13},
  url = {https://doi.org/10.11648/j.ajp.20170306.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20170306.13},
  abstract = {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 and where facilities are available. Pneumatic reduction has become a popular therapeutic method for intussusception instead of surgery in many centers. The current study aim to evaluate the success rate of ultrasound guided pneumatic reduction of intussusception and verifying the factors affecting its efficacy as initial experience in Baghdad. 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 and third attempts before surgical intervention performed. 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. 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 and location of mass. The procedure is not devoid of recurrence risk and possibility of developing pneumoperitoneum.},
 year = {2017}
}

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