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Intussusception in children: 11-year experience in Vladivostok
A N Shapkina1, V V Shapkin, I V Nelubov
1Department of Paediatric Surgery, Vladivostok State Medical University, Vladivostok, Russia. PedSurg2005@mail.ru
Pediatric Surgery International
|October 6, 2006
Summary
Idiopathic intussusception reduction using air enema is effective in children, achieving an 86.1% success rate. However, prolonged symptoms significantly increase complication risks, highlighting the importance of timely intervention.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Idiopathic intussusception is a critical pediatric abdominal emergency.
- Nonoperative management via air enema is the established standard in Russia.
Purpose of the Study:
- To evaluate the success rate of air enema reduction for intussusception.
- To assess the complication rate associated with nonoperative management.
Main Methods:
- Retrospective analysis of 280 pediatric intussusception cases (1994-2005).
- Data collected on patient demographics, clinical presentation, diagnostics, treatment, and outcomes.
- Focus on nonoperative (air enema) versus surgical interventions.
Main Results:
- Overall successful reduction rate was 86.1%.
- Non-surgical reduction success decreased significantly with symptom duration: 97.3% (<18h), 86.4% (18-24h), 33.3% (>24h).
- One case of colon perforation occurred in a patient with symptoms >24h; 12/39 surgical cases required intestinal resection.
Conclusions:
- Air enema is a safe and effective primary treatment for uncomplicated intussusception in children.
- Early presentation (<18 hours) is strongly associated with higher non-surgical success rates.
- Extended symptom duration (>24 hours) correlates with increased risk of complications and need for surgery.
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