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Related Experiment Videos

Recurrent intussusception in children.

S H Ein

    Journal of Pediatric Surgery
    |October 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Recurrent intussusception occurs in 5% of cases, with higher rates after barium enema reduction than surgery. Early recurrence is common, often with milder symptoms, and barium enema is effective unless a leading point is present.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology

    Background:

    • Intussusception is a common surgical emergency in infants and children.
    • Recurrent intussusception presents unique challenges in management and treatment strategies.

    Purpose of the Study:

    • To analyze the recurrence rate and outcomes of intussusception in a pediatric cohort.
    • To evaluate the effectiveness of different reduction methods for recurrent intussusception.

    Main Methods:

    • Retrospective analysis of 600 intussusception cases over 17 years.
    • Focus on 28 children with 35 recurrent intussusception events.
    • Review of reduction methods (hydrostatic barium enema, operative) and outcomes.

    Main Results:

    • Overall recurrence rate was 5%; 11% after barium enema, 3% after surgery.

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  • Most recurrences (over two-thirds) occurred within 6 months.
  • Barium enema successfully reduced 21 of 30 recurrences; surgery was required in 16 cases.
  • Leading points were rare (2 cases) and necessitated resection.

    • Conclusions:

    • While operative reduction decreases recurrence risk and ileocolic resection eliminates it, surgery is not indicated if barium enema reduction is successful.
    • Hydrostatic reduction is not effective for intussusception caused by a leading point.