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Published on: April 26, 2019

Barium reduction of intussusception in infancy

E J DENENHOLZ, G S FEHER

    California Medicine
    |January 1, 1955
    PubMed

    Insights

    Barium enema reduction successfully treated intussusception in most infants. Careful patient selection and monitoring are crucial for safe and effective hydrostatic reduction, especially in late-stage cases.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Radiology

    Background:

    • Intussusception is a common surgical emergency in infants.
    • Barium enema reduction is a widely used non-surgical treatment.
    • Assessing reducibility and potential complications is critical.

    Purpose of the Study:

    • To evaluate the efficacy and safety of barium enema reduction for infant intussusception.
    • To identify criteria for successful reduction and patient selection.
    • To determine the role of clinical and radiographic findings in guiding treatment.

    Main Methods:

    • Retrospective analysis of 29 infants with intussusception treated with barium enema reduction.
    • Clinical and radiographic assessment before and after reduction.
    • Observation of patients treated in private practice without hospital admission.

    Main Results:

    • Successful reduction achieved in 22 out of 29 infants (75.9%).
    • Intussusception was reduced in 3 of 8 surgically explored patients.
    • No complications were noted in patients treated and observed in private practice prior to reduction.

    Conclusions:

    • Barium enema reduction is an effective initial treatment for infant intussusception.
    • Clinical and radiographic criteria are essential for determining successful reduction.
    • Caution is advised in late-stage cases or those with signs of complications, though duration alone is not an absolute contraindication.

    Keywords:
    BARIUM SULFATEENEMATAINTUSSUSCEPTION/in infant and child

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