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Background: It is widely believed that hydrostatic reduction of intussusception is less successful in children with prolonged symptoms prior to presentation. Aim: To prospectively evaluate success in relation to duration of symptoms. Methods: Prospective study in which children, regardless of symptom duration, underwent an attempt at hydrostatic reduction. Results: Of 113 children presenting with intussusception, 16 had peritonitis and required immediate laparotomy. A hydrostatic reduction was attempted in 97 and was successful in 77 (79% ). There were 26 successful reductions with symptoms < 12 hours (81% ), 30 with symptoms for 12-24 hours (81% ), and 21 with symptoms >24 hours (75% ). Conclusion: The success rate with hydrostatic reduction was not significantly influenced by symptom duration.
Background: It is widely believed that hydrostatic reduction of intussusception is less successful in children with prolonged symptoms prior to presentation. Methods: Prospective study in which children, regardless of symptom duration, underwent Results: Of 113 children presenting with intussusception, 16 had peritonitis and required immediate laparotomy. A hydrostatic reduction was attempted in 97 and was successful in 77 (79%). There were 26 successful reductions with symptoms <12 hours (81%), 30 with symptoms for 12-24 hours (81%), and 21 with symptoms> 24 hours (75%). Conclusion: The success rate with hydrostatic reduction was not significantly affected by symptom duration.