2017, Number 264
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16 de abril 2017; 56 (264)
Hydrostatic reduction in pediatric patients with intestinal invagination
Gómez BR, Rodríguez MA, Armenteros GA, Pérez PPN
Language: Spanish
References: 19
Page: 45-54
PDF size: 531.93 Kb.
ABSTRACT
Introduction: The intestinal invagination is the most frequent cause in intestinal occlusion in children during the first year of life and it corresponds to the intussusception of an intestine segment inside another adjacent segment.
Objective: To characterize the pediatric patients with intestinal invagination tried by hydrostatic reduction guided by ultrasonography in the Hospital Pediátrico Docente Provincial "José Luis Miranda" of Santa Clara in the period of January of 2009 until February of 2015.
Material and Methods: An observational, descriptive and cross-sectional study was performed in 68 patients bigger than three months and smaller than two years in those the diagnosis of intestinal invagination by sonography was confirmed and the method of hydrostatic reduction was applied with solution low saline under sonographic control.
Results: The males of the age group prevailed smaller than six months, eutrophics, of color of white skin (55,9%). The main risk factor was the introduction of new foods (29,4%). The symptom and cardinal sign were the irritability and the blood to the rectal tact (91,2% and 79,4% respectively). They didn't show up complications characteristic of proceeding and the method of hydrostatic reduction was effective in 95,6% of the cases.
Conclusions: The intestinal invagination showed up most often in the first months of life talking to the method of hydrostatic reduction, which had very effective results without associate complications and with a good presage in these patients.
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Departamento de Contabilidad. Hospital Pediátrico Docente “José Luis Miranda”. Villa Clara. 2015.