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Related Experiment Videos

Minimizing surgery in complicated intussusceptions in the Third World.

R Wiersma1, G P Hadley

  • 1Department of Paediatric Surgery, Nelson R. Mandela School of Medicine, University of Natal, Private Bag 7, 4013 Durban, Congella, South Africa. wiersma@nu.ac.za

Pediatric Surgery International
|April 6, 2004
PubMed
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An aggressive air enema under general anesthesia improved intussusception reduction rates to 53% in a Third World setting. This non-operative method is effective for delayed presentations, reducing the need for surgery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Delayed presentation of intussusception is common in resource-limited settings.
  • Standard enema reduction methods have low success rates in these conditions.

Purpose of the Study:

  • To evaluate an aggressive, non-operative method for reducing intussusceptions.
  • To minimize surgical intervention for intussusception in a Third World environment.

Main Methods:

  • A retrospective review of 106 patients with intussusception.
  • Comparison of standard barium/air enema success rates with an air enema under general anesthesia in the operating theatre.

Main Results:

  • Standard barium and air enema success rates were 13% and 22%, respectively.

Related Experiment Videos

  • The aggressive air enema under general anesthesia achieved a 53% reduction rate.
  • 41% of patients required primary laparotomy based on clinical grounds.

    • Conclusions:

    • An aggressive air enema under general anesthesia is a valuable last resort before surgery for intussusception.
    • This method is effective as a first-line treatment for delayed intussusception presentations without peritonitis.