African Journal of Paediatric Surgery

: 2014  |  Volume : 11  |  Issue : 4  |  Page : 374-

Manual versus hydrostatic reduction for intussusception

Sora Yasri1, Viroj Wiwanitkit2,  
1 Primary Care Unit, KMT Center, Bangkok, Thailand
2 Hainan Medical University, China; Tropical Medicine Unit, Faculty of Medicine, University of Nis, Serbia; Joseph Ayobabalola University, Nigeria

Correspondence Address:
Dr. Sora Yasri
Primary Care Unit, KMT Center, Bangkok, Thailand

How to cite this article:
Yasri S, Wiwanitkit V. Manual versus hydrostatic reduction for intussusception.Afr J Paediatr Surg 2014;11:374-374

How to cite this URL:
Yasri S, Wiwanitkit V. Manual versus hydrostatic reduction for intussusception. Afr J Paediatr Surg [serial online] 2014 [cited 2021 Jan 25 ];11:374-374
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The report on comparison manual versus hydrostatic reduction (HR) for intussusception is interesting. [1] Ocal et al. have reported that "HR together with ultrasonography is a safe technique in the treatment of intussusception, which also shortens the duration of hospitalisation and significantly reduces the treatment costs." [1] In fact, there are some concerns on this report. First, there is no evidence from the present single-centre report on the cost; hence, it should not be able to make any conclusion that an alternative can reduce treatment cost. Focusing on reduction, sonographically guided HR is confirmed for its efficacy in many reports. [1],[2] However, this does not mean that there is no complication of the procedure. According to the recent report by Okazaki et al., the bowel perforation due to HR could be observed in 1-2% of the cases. [3] The good control of positioning during HR seems to be a critical point to be kept in mind for minimizing the perforation complication. [4]


1Ocal S, Cevik M, Boleken ME, Karakas E. A comparison of manual versus hydrostatic reduction in children with intussusception: Single-center experience. Afr J Paediatr Surg 2014;11:184-8.
2Peh WC, Khong PL, Chan KL, Lam C, Cheng W, Lam WW, et al. Sonographically guided hydrostatic reduction of childhood intussusception using Hartmann's solution. AJR Am J Roentgenol 1996;167:1237-41.
3Okazaki T, Ogasawara Y, Nakazawa N, Kobayashi H, Kato Y, Lane GJ, et al. Reduction of intussusception in infants by a pediatric surgical team: Improvement in safety and outcome. Pediatr Surg Int 2006;22:897-900.
4Bramson RT, Blickman JG. Perforation during hydrostatic reduction of intussusception: Proposed mechanism and review of the literature. J Pediatr Surg 1992;27:589-91.