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Related Experiment Videos

Intussusception: a three-year review.

A H M Lai1, K B Phua, E L H J Teo

  • 1Department of Paediatrics, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899.

Annals of the Academy of Medicine, Singapore
|March 12, 2002
PubMed
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Intussusception, a common cause of intestinal obstruction in children, often presents with non-classical symptoms. Early diagnosis via ultrasound and prompt air enema reduction are key to successful outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Intussusception is the most frequent cause of intestinal obstruction in infants and young children.
  • Classical signs are often absent, necessitating a high index of suspicion.

Purpose of the Study:

  • To review the clinical presentation, diagnostic methods, and treatment outcomes for intussusception.
  • To evaluate the effectiveness of air enema reduction and the role of ultrasonography.

Main Methods:

  • Retrospective review of 160 pediatric patients treated for intussusception over a 3-year period.
  • Analysis of clinical symptoms, abdominal ultrasonography findings, and reduction success rates.

Main Results:

  • Vomiting (84.4%) and abdominal mass (56.3%) were common symptoms; classical signs were present in only 7.5%.

Related Experiment Videos

  • Ultrasonography demonstrated the characteristic target lesion in 98.1% of cases.
  • Air enema reduction was successful in 84.4% of patients, irrespective of symptom duration.

    • Conclusions:

    • A high index of suspicion is crucial due to atypical presentations of intussusception.
    • Abdominal ultrasonography is the preferred diagnostic tool.
    • Air enema reduction is a safe and effective primary treatment for most intussusception cases.