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[Medical-surgical experience of intestinal intussusception. Experience of a university institution]

P Montes1, G Soto, A Codoceo

  • 1Sección de Cirugía Pediátrica, Hospital Clínico de la Pontificia Universidad Católica de Chile.

Revista Medica De Chile
|August 30, 2000
PubMed

Insights

Nonsurgical reduction for uncomplicated intestinal intussusception in children is safe and effective. Air enema reduction achieved a 100% success rate, surpassing barium enema

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Radiology

Context:

  • Intestinal intussusception is a common surgical emergency in children.
  • Management has shifted from open surgery to less invasive reduction techniques.
  • Fluoroscopic guidance is integral to nonoperative reduction.

Purpose:

  • To evaluate the efficacy and safety of nonoperative reduction for pediatric intestinal intussusception.
  • To compare success rates of barium versus air enema reduction.
  • To analyze outcomes over a decade at a university hospital.

Summary:

  • A 10-year study reviewed 72 children (2-72 months) with uncomplicated intussusception treated with barium or air enema.
  • Air enema reduction demonstrated a 100% success rate, compared to 73% for barium enema.
  • Enema reduction failed in 24% of cases, necessitating surgical intervention.

Impact:

  • Nonoperative reduction, particularly air enema, is a safe and highly effective initial treatment for uncomplicated pediatric intussusception.
  • This approach minimizes surgical morbidity and associated healthcare costs.
  • Findings support the continued use and optimization of nonoperative strategies in managing this condition.
Abstract

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