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Intussusception: trends in clinical presentation and management

Frances A Justice1, Alex W Auldist, Julie E Bines

  • 1Department of Gastroenterology and Clinical Nutrition, Royal Children's Hospital, Victoria, Australia.

Journal of Gastroenterology and Hepatology
|May 18, 2006
PubMed

Insights

Intussusception hospitalization rates slightly increased, but air enema diagnosis and treatment remain highly effective for infants, reducing surgery needs and hospital stays.

Area of Science:

  • Pediatric Gastroenterology
  • Epidemiology
  • Surgical Outcomes

Background:

  • Rotavirus vaccine association with intussusception prompts renewed interest in its epidemiology.
  • Understanding intussusception incidence, clinical presentation, and outcomes is crucial.

Purpose of the Study:

  • To analyze the incidence, clinical presentation, diagnosis, treatment, and outcomes of intussusception.
  • Compare current data with historical data from 1962-1968.

Main Methods:

  • Retrospective chart review of intussusception patients at Royal Children's Hospital, Melbourne (1995-2001).
  • Analysis of patient demographics, clinical features, diagnostic methods, and treatment outcomes.
  • Comparison with historical data from 1962-1968.

Main Results:

  • Hospitalization rate for idiopathic intussusception increased marginally from 0.19 to 0.27 per 1000 live births.
  • Most affected patients were under 12 months; abdominal pain, lethargy, and vomiting were common symptoms.
  • Air enema confirmed diagnosis in 97% and was successful in 82% of cases; factors like abdominal distension predicted surgery.

Conclusions:

  • The hospitalization rate for primary idiopathic intussusception has slightly increased over 40 years.
  • Air enema is a highly successful diagnostic and therapeutic tool for intussusception.
  • Successful air enema treatment has reduced the need for surgery and shortened hospital stays.
Abstract

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