Hydrostatic reduction of intussusception with intermittent radiography:an alternative to fluoroscopy or ultrasoundguided reduction in low-income and middle-income countries

作     者：Tanvir Kabir Chowdhury Md.Qumrul Ahsan Mohammad Zonaid Chowdhury Md.Tameem Shafayat Chowdhury Md.Sharif Imam Md.Afruzul Alam Md.Abdullah Al Farooq Tanvir Kabir Chowdhury;Qumrul Ahsan;Mohammad Zonaid Chowdhury;Tameem Shafayat Chowdhury;Sharif Imam;Afruzul Alam;Abdullah Al Farooq

作者机构：Department of Pediatric SurgeryChittagong Medical CollegeChattogramBangladesh Department of Radiology and ImagingChattogram Maa-O Shishu Hospital Medical CollegeChattogramBangladesh Radiology and ImagingCentre for Specialized Care and Research(CSCR)ChattogramBangladesh 

出 版 物：《World Journal of Pediatric Surgery》 (世界小儿外科杂志（英文）)

年 卷 期：2021年第4卷第1期

页      面：14-20页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：income hydrostatic diluted 

摘      要：Background Although hydrostatic reduction of intussusception with ultrasound(US)or fluoroscopy guidance is well known,it is not yet well established in many low-income and middle-income *** aim of the study is to report our results of hydrostatic reduction with intermittent radiography,which has the potential to be practiced in resource-limited *** We retrospectively analyzed our patients with intussusception from 2009 to 2019(11 years).Hydrostatic reduction was performed using water-soluble contrast medium(iopamidol),and reduction was followed with intermittent X-rays taken after every 50 mL of diluted contrast *** procedure was not continuously monitored by US or *** in outcome based on age and gender,and yearly trends of admission for intussusception,types of treatment and mortality were *** Among 672 patients,the ratio of boys to girls was 2.46:1.0,and their ages ranged from 1 month to 15 years(median 8 months).Hydrostatic reduction was performed successfully in 351(52.23%)patients;308(45.83%)patients underwent surgery;and 13(1.93%)patients died before any *** were significant differences in age between patients with successful hydrostatic reduction(median 7 months)and patients needing surgery(median 9 months)(p0.001).The number of successful hydrostatic reductions increased during the 11 years of the study(R2=0.88).One patient(0.15%)died after hydrostatic reduction,and 10(1.49%)died after *** Hydrostatic reduction with intermittent radiography was performed successfully in more than half of the patients with acceptable complication rates.