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

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World Journal of Pediatric Surgery 2021年第1期4卷 14-20页

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 Department of Pediatric Surgery Chittagong Medical CollegeChattogramBangladesh Department of Radiology and Imaging Chattogram Maa-O Shishu Hospital Medical CollegeChattogramBangladesh Radiology and Imaging Centre for Specialized Care and Research(CSCR)ChattogramBangladesh

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)(p<0.001).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.

关键词： income hydrostatic diluted

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