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228645

Comparative Study between Hydrostatic and Pneumatic Reduction For Early Intussusception In Pediatrics

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Last updated: 22 Jan 2023

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Abstract

Background: Intussusception is an operative emergency that occurs frequently in children, particularly infants. Intussusception can be treated non-surgically or surgically. Intussusception is increasingly being treated non-surgically. Aim of the Work: to compare the safety and efficacy of hydrostatic and pneumatic reductions for early intussusception in pediatrics and to evaluate both techniques. Patients and Methods: Twenty patients were involved in this prospective single-blind randomized comparative study. They have been allocated into two groups at random: Group A, which comprises 10 patients who had hydrostatic reduction; and Group B, which comprises 10 patients who had pneumatic reduction. The patients' ages at the time of reduction varied from 3 to 36 months, with an average and IQR range of 8 months (5-14). Regarding gender distribution, 11 of them were males (55%) while the remaining 9 (45%) were females with male to female ratio 1.2:1. The patient's body weight ranged from 5.5 kilograms to 13 kilograms with the mean weight of 8.57±1.94 kg. Results: The rate of success was significantly higher in the pneumatic group (80%) compared to the hydrostatic group (60%) after the first trial. The rate of success was significantly higher in the hydrostatic group (50%) when compared to the pneumatic group (0%) following the second trial. Conclusion Pneumatic reduction is a simple, quick, and mess-free method. There is no need for a radiologist. Hydrostatic reduction is a safe technique. It avoids exposure of the child to a significant amount of radiation

DOI

10.21608/aimj.2022.113210.1756

Keywords

Hydrostatic, pneumatic Reduction, early intussusception, children

Authors

First Name

Hossam

Last Name

Taher

MiddleName

Eldin H.

Affiliation

Pediatric Surgery department Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

dr.hossameldin.hassan@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Abd El-Aziz

MiddleName

-

Affiliation

Pediatric Surgery, Al-Azhar University

Email

maazizeg@yahoo.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Mostafa

MiddleName

Abdel Fattah Ahmed

Affiliation

General Surgery department Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

prof.ahmedfattah72@yahoo.com

City

-

Orcid

-

First Name

Youssef

Last Name

Ali

MiddleName

Mohammed Ahmed

Affiliation

Pediatric Surgery department Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

dr.youssefmohamed@yahoo.com

City

-

Orcid

-

Volume

3

Article Issue

4

Related Issue

33573

Issue Date

2022-04-01

Receive Date

2021-12-27

Publish Date

2022-04-01

Page Start

1

Page End

6

Print ISSN

2682-3381

Online ISSN

2682-339X

Link

https://aimj.journals.ekb.eg/article_228645.html

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https://aimj.journals.ekb.eg/service?article_code=228645

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Original Article

Type Code

710

Publication Type

Journal

Publication Title

Al-Azhar International Medical Journal

Publication Link

https://aimj.journals.ekb.eg/

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Article

Created At

22 Jan 2023