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Published on: December 1, 2012

Factors influencing management and comparison of outcomes in paediatric intussusceptions

A K Saxena1, M E Höllwarth

  • 1Department of Pediatric Surgery, Medical University of Graz, Austria. amulya.saxena@meduni-graz.at

Acta Paediatrica (Oslo, Norway : 1992)
|June 26, 2007
PubMed

Insights

Paediatric ileocolic intussusceptions (ICI) differ from small-bowel intussusceptions (SBI) in spontaneous reduction rates and surgical needs. Management strategies and outcomes vary significantly between these two types of intussusception.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Intussusception is a common surgical emergency in children.
  • Distinguishing between ileocolic intussusception (ICI) and small-bowel intussusception (SBI) is crucial for management.
  • Understanding differences in outcomes can optimize treatment strategies.

Purpose of the Study:

  • To compare the management strategies and clinical outcomes of pediatric ileocolic intussusceptions (ICI) versus small-bowel intussusceptions (SBI).
  • To identify key differences in reduction success rates, surgical intervention, and patient demographics between ICI and SBI.

Main Methods:

  • Retrospective review of hospital charts for patients diagnosed with intussusception between January 1999 and June 2006.
  • Ultrasound confirmation of diagnosis in 111 patients.
  • Analysis of spontaneous reduction, pneumatic reduction success, and surgical intervention rates for ICI and SBI.

Main Results:

  • Out of 135 intussusception cases, 83 were ICI and 28 were SBI.
  • Spontaneous reduction was more frequent in SBI (64.3%) than ICI (13.3%).
  • Pneumatic reduction was successful in 91% of ICI and 85.7% of SBI. Surgery was required in 13.3% of ICI and 14.3% of SBI, with higher bowel resection rates in SBI (10.7% vs 2.4%).

Conclusions:

  • Significant differences exist between ICI and SBI regarding spontaneous reduction, surgical resection, and age at surgery.
  • Treatment efficacy is influenced by presentation timing, intussusception type, lead points, imaging interpretation, and reduction technique expertise.
Abstract

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