What is hydrostatic reduction in intussusception?

Hydrostatic reduction of intussusception is a simple and effective method for the treatment of intussusception. Success rate of 65% is good considering the morbidity that is associated with operative treatment. However, early presentation and proper patient selection is necessary for optimal outcome.

How can hydrostatic be reduced?

Introduction. The hydrostatic reduction of childhood intussusception with ultrasound (US) guidance is a well-recognized alternative method for the reduction of childhood intussusception. The other nonsurgical methods are reduction with barium or air with fluoroscopic guidance.

What is reduction in intussusception?

Intussusception reduction is a procedure performed in paediatric patients who have an ileocolic intussusception. There are several ways that reduction can be achieved radiologically: air-reduction under fluoroscopic guidance. hydrostatic-reduction under fluoroscopic guidance. physical reduction under US guidance.

What is pneumatic reduction?

It is the most common cause of bowel obstruction in the infant-toddler age group. Pneumatic reduction of intussusception has been practiced since 1950. It involved per rectal insufflations of air at a pressure of between 80 and 100 mmHg.

What causes increased hydrostatic pressure?

Causes of increased hydrostatic pressure within the venous system include heart failure (HF; venous congestion), fluid overload, deep vein thrombosis (DVT), venous compression, and other causes of venous obstruction.

What type of contrast media is most effective in reducing an intussusception?

Air enemas were found to be accurate in demonstration of intussusception and at least as effective as liquid contrast medium for reduction of intussusception. In experienced hands, the shorter fluoroscopic time with resultant lower radiation exposure associated with air is an important benefit.

How does enema reduce intussusception?

How Does an Air Enema Help with Intussusception? The enema uses air or a contrast material solution to create pressure within the intestine and “un-telescope” the intussusception while relieving the obstruction.

What is the surgery for intussusception?

The surgeon will free the portion of the intestine that is trapped, clear the obstruction and, if necessary, remove any of the intestinal tissue that has died. Surgery is the main treatment for adults and for people who are acutely ill.

What causes decreased hydrostatic pressure?

Decreased Perimicrovascular Hydrostatic Pressure Postobstructive pulmonary edema has been described after obstructions caused by laryngospasm, endotracheal tube obstruction, foreign body aspiration, epiglottitis, croup, severe acute asthma, airway compression by tumors, strangulation, or hanging.