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Saline reduction of intussusception under ultrasound guidance.

Journal of the Korean Pediatric Society 1991;34(12):1678-1682.
Published online December 31, 1991.
Saline reduction of intussusception under ultrasound guidance.
Min Hyea Kim, Jung Weon Seo, Sung Joo Lee
Department of Pediatrics, College of Medicine, Ewha Women fs University, Seoul, Korea
초음파영상하생리 식염수정복술에 의한 소아장중첩증의 치료효과
김민혜, 서정완, 이승주
이화여자대학교 의과대학 소아과학교실
Received: 22 June 1991   • Accepted: 23 August 1991
Abstract
Intussusception is the most common cause of acquired intestinal obstruction and requires emer- gency treatment. Recently, saline reduction under the ultrasound guidance has been successful as a diagnostic and therapeutic tool of intussusception. It is a simple, rapid, noninvasive, painless procedure without risk of radiation. We compared the result of saline reduction in 54 cases with that of barium reduction in 104 cases from January, 1988 to July, 1989. The results were as follows, 1) The successful rate of saline reduction was 87% which is not significant compared to 86% of barium reduction. 2) The recurrent rate of saline reduction was 15% which is not significant compared to 14% for barium reduction. Therefore it is expected that hydrostatic saline reduction under the ultrasound guidance can replace the barium reduction as a treatment of choice of hildhood intussusception.
Key Words: Intussusception, Saline reduction, Ultrasound, Barium reduction


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