Intussusception in children: hydrostatic reduction
Insights
Barium enema successfully treated 82% of intussusception cases in a 5-year review. Early pediatrician detection and surgeon expertise are crucial for effective intussusception management.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Intussusception is a common surgical emergency in infants and children.
- Prompt diagnosis and treatment are essential to prevent complications.
Purpose of the Study:
- To evaluate the efficacy of barium enema reduction for intussusception.
- To identify factors contributing to successful intussusception reduction.
Main Methods:
- Retrospective review of 104 intussusception patients over five years.
- Primary treatment involved barium enema reduction.
- Analysis of factors including anesthesia, procedural repetition, and manipulation.
Main Results:
- No deaths were recorded among the 104 patients.
- Barium enema achieved an 82% successful reduction rate.
- General anesthesia, repeated attempts, balloon catheter use, and manipulation improved success rates.
Conclusions:
- Barium enema is a safe and effective primary treatment for pediatric intussusception.
- Early detection by pediatricians and skilled surgical intervention are vital for optimal outcomes.
Abstract:
The records of 104 patients with the diagnosis of intussusception who were admitted to the Saisei-kai Suita Hospital during the past five years were reviewed. There were no deaths. All patients were treated primarily by barium enema with a successful reduction rate of 82%. Successful reduction requires the use of general anesthesia, repetition of the procedure after a three- or five-minute waiting period, use of a balloon catheter, and manipulation. The most important points are early detection of this disease by the pediatrician and enthusiasm on the part of the surgeon.
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