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Paediatric intussusception
M D Stringer1, S M Pablot, R J Brereton
1Department of Paediatric Surgery, Institute of Child Health, London, UK.
Insights
Intussusception in infants, a common cause of intestinal obstruction, sees improved outcomes with new imaging and reduction techniques. While most cases are treatable without surgery, collaboration and vigilance are key to preventing avoidable deaths.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Intussusception is a frequent cause of intestinal obstruction in infants, leading to approximately 700 hospital admissions annually in England and Wales.
- Recent advancements in medical technology have significantly improved treatment outcomes for this condition.
Purpose of the Study:
- To highlight the impact of technological developments on intussusception treatment.
- To emphasize the importance of interdisciplinary collaboration in managing intussusception.
- To underscore the ongoing need to reduce avoidable mortality and morbidity.
Main Methods:
- Ultrasonographic imaging for diagnosis.
- Pneumatic reduction techniques for non-operative treatment.
- Analysis of treatment outcomes and mortality/morbidity rates.
Main Results:
- Most intussusceptions can be successfully reduced non-operatively.
- Technological advancements, including ultrasonography and pneumatic reduction, have led to improved treatment results.
- Mortality and morbidity rates have declined in recent decades.
Conclusions:
- Close cooperation between surgeons and radiologists is crucial for successful intussusception management.
- While outcomes have improved, efforts must continue to eliminate avoidable deaths associated with intussusception.
- Non-operative reduction techniques are effective for the majority of infant intussusception cases.
Abstract:
Intussusception is one of the commonest causes of intestinal obstruction in infants and accounts for about 700 hospital admissions each year in England and Wales. Improved results of treatment have followed recent technological developments, which include ultrasonographic imaging and pneumatic reduction techniques. Most intussusceptions can be reduced successfully without the need for operation but close cooperation between surgeon and radiologist is essential. Mortality and morbidity rates from the condition have progressively declined in recent decades but avoidable deaths still occur.