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The comparison of pneumatic and hydrostatic reposition with surveillance of ultrasound in the treatment of intussusception

Yushui Huai, Zhengyin Yin, Kai Zhou

Objective: Intussusception is a common acute abdomen in infants. With the excellent sensitivity and specificity, ultrasonography has become the preferred imaging method for diagnosis of intussusception. Our study aimed to investigate the efficacy of pneumatic and hydrostatic reposition with surveillance of ultrasound in the treatment of intussusception.

Methods: A total of 201 children and infants with intussusception diagnosed by ultrasonography were collected from June 2011 to January 2016 in our hospital. The patients were divided into two groups for different treatments (pneumatic or hydrostatic reposition). The successful rates of two methods were compared. In addition, the factors affect the treatment outcomes were also identified.

Results: The success rate of pneumatic reposition was 91.6% and the success rate of hydrostatic reposition was 86.7%. The success of treatment was negatively correlated with the course of disease and the weight of the patients. In addition, the patients with lesion sites in the upper part of the abdomen usually showed better treatment outcomes compared with the patients with lesion sites in other parts.

Conclusion: Ultrasonography, which can avoid radioactive examination, is safe and effective in the diagnosis and treatment of paediatric intussusception. Pneumatic and hydrostatic reposition both showed satisfactory success rate but pneumatic reposition was better.