Outcome of ultrasound guided hydrostatic reduction in pediatric intussusception at Lady Reading Hospital, Peshawar.

Introduction: Several treatment options are available for management of intussusception depending upon the duration of symptoms and clinical presentation. Non-operative options include reduction via normal saline enema, barium enema or pneumatic reduction under fluoroscopic guidance. The operative options employed in cases presenting with peritonitis, bowel perforation and shock include both laparoscopic reduction and open surgery. Material and Methods: This descriptive cross-sectional study was carried out at the Department of Pediatric Surgery, Lady Reading Hospital, Peshawar from 13th July, 2020 to 13th January, 2021. Total of 150-patients with intussusception were included in the study in a consecutive sampling method and subjected to hydrostatic reduction under ultrasound guidance. All patients were followed up to determine the outcome of procedure. Results: The mean age of the sample was 2.1±0.9 years. 58.7% of the sample were males and 41.3% were female gender. Mean BMI was 24.5±2.1kg/m², 58.7% had ASA class I and 62.7% were intussusception of small intestine. Mean duration of symptoms was 15.4 ±6.2 hours. Bleeding per rectum was recorded in 62.7%. Mean time of the procedure was 44.7±10.4 minutes. On follow up after hydrostatic reduction under ultrasound guidance, success was recorded in 68.7% of patients. Conclusion: Hydrostatic reduction under ultrasound guidance has acceptable success in the management of intussusception under 3 years of age. We recommend more studies on larger sample sizes and multicenter studies to report clear efficacy of hydrostatic reduction and factors which can affect its efficacy before recommending future research and treatment directions. [ABSTRACT FROM AUTHOR]