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Corresponding Author

Taher, Hossam

Document Type

Original Article

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

Keywords

Hydrostatic; pneumatic Reduction; early intussusception; children

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