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Corresponding Author

Mahmoud Abdelhady Moussa

Document Type

Original Article

Abstract

Introduction: Between the ages of six and thirty-six months, intussusception—a term that describes the telescoping of a portion of the intestine into itself—is thought to be the most frequent cause of intestinal obstruction. It usually presents with sudden crampy abdominal pain, sometimes with grossly bloody stools and vomiting. For stable instances without any indication of bowel perforation, non-surgical reduction of the intussusception is advised. Ultrasonography is the preferred method of diagnosis in these circumstances. Hydrostatic or pneumatic enemas can be used to guide the decrease under the guidance of either ultrasonography or fluoroscopy. The advantages of the ultrasound-guided reduction include reduced radiation exposure and improved detection of problematic lead sites.

The aim of the work: To evaluate the role of anesthesia and muscle relaxation in a hydrostatic reduction for ileocecal intussusception, there is a significant difference in both success and complications.

Patients and methods: This prospective double-blinded randomized comparative study includes 150 patients as of February 2021. In February 2023, we were divided into two equal groups, and the same protocol was used for each group for the ultrasound-guided hydrostatic reduction with versus without general anesthesia (GA). A comparison was made regarding the successful, complication, and 24-hour reduction rates.

Results: Ultrasound-guided hydrostatic reduction under general anesthesia or muscle relaxation shows a higher successful reduction rate, a lower perforation rate, and a 24-hour recurrence rate than the reduction without general anesthesia or muscle relaxation.

Conclusion: Because it has better results and fewer complications than surgery, ultrasonography-guided hydrostatic reduction under GA and muscular relaxation is the best option for non-surgical reduction of intussusception.

Keywords

Ileo-caecal intussusception; ultrasound-guided; hydrostatic reduction

Subject Area

General Surgery, Pediatrics & its Subspecialty.

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