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Efficacy of US-guided Hydrostatic Reduction in Children with Intussusception |
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Young Min Kim, M.D. Tae Woong Chung, M.D., Woong Yoon, M.D.,Nam Kyu Chang, M.D., Suk Hee Heo, M.D., Sang Soo Shin, M.D.,Hyo Sun Lim, M.D., Yong Yeon Jeong, M.D., Heoung Keun Kang, M.D. |
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Department of Radiology, Chonnam National University Hospital |
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PURPOSE : To assess the success rate and efficacy of US-guided hydrostatic reduction in children with intussusception.
MATERIALS and METHODS : We retrospectively evaluated the ultrasonographic findings and clinical features of 121
children (M:F=80:41, mean age= 18 months) who underwent US-guided hydrostatic reduction between
November, 2002 and February, 2007 for the diagnosis and treatment of intussusception.
RESULTS : The 121 patients underwent 147 procedures, including recurred cases. Successful reduction was achieved
in 132 cases (89.8% success rate), as confirmed by post-procedure ultrasonography and clinical findings.
Emergency operations were performed in the 10 (6.8%) cases of irreducible intussusceptions, 8 of ileocolic type
and 2 of ileoileal type. Perforation occurred in 4 cases (2.7%), and seizure in 1 case during the procedure (0.7%).
CONCLUSION : US-guided hydrostatic reduction is a safe and effective tool for the diagnosis and treatment of pediatric
intussusception. |
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Keyword : Children, gastrointestinal tract, intussusception, ultrasonography |
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pdf파일 : 113김영민.pdf
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