Related Experiment Videos
[Experiences in the treatment of intestinal invagination in children]
E S Borgstein1, S Ekkelkamp, A Vos
1Academisch Ziekenhuis Vrije Universiteit, Kinderchirurgisch Centrum, afd. Heelkunde voor Kinderen en Pasgeborenen, Amsterdam.
Insights
Intussusception treatment in infants is debated. Hydrostatic reduction was attempted in half of cases, succeeding in only 43%, suggesting a need for improved pediatric surgical strategies.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Context:
- Intussusception is a frequent cause of acute abdomen in infants.
- Treatment methods and criteria for hydrostatic reduction are debated.
- A retrospective study analyzed 84 cases from 1980-1990 at a pediatric surgical center.
Purpose:
- To evaluate the effectiveness of intussusception treatment.
- To assess the success rates of hydrostatic reduction in infant intussusception.
Summary:
- Surgery was performed in 75% of cases, with 33% not having a prior barium enema.
- Hydrostatic reduction was attempted in 50% of cases, with a success rate of 43%.
- Ultrasound was infrequently used for diagnosis; literature suggests air reduction is more effective than barium.
Impact:
- Findings highlight challenges in current intussusception management.
- Suggests potential for improved outcomes with alternative reduction techniques.
- Informs clinical practice regarding diagnostic and therapeutic approaches for infant intussusception.
Abstract:
Intussusception is one of the more common causes of an acute abdomen in infancy. There is discussion about the appropriate method of treatment, and especially about the criteria for hydrostatic reduction. To evaluate the effectiveness of treatment of patients with intussusception presenting at the Paediatric Surgical Centre in Amsterdam, a retrospective study was carried out. 84 Cases were seen between 1980-1990. Three quarters of the children were operated, one-third without prior barium enema. In half the cases an attempt at hydrostatic reduction was made, and this succeeded in only 43%. Ultrasound was only rarely used diagnostically. The literature shows that the use of air to attempt reduction is more likely to be effective and less likely to cause complications than barium.