Intussusception in Newcastle in a 25 year period

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V T Tangi1, J W Bear, I S Reid

  • 1Department of Paediatric Surgery, Newcastle University Medical School, New South Wales, Australia.

The Australian and New Zealand Journal of Surgery
|August 1, 1991
PubMed

Insights

This study reviews 165 intussusception cases over 25 years, showing improved outcomes with specialized pediatric surgical and radiological care. Aggressive enema reduction and focused expertise reduced mortality and enhanced treatment success.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Epidemiology

Background:

  • Intussusception is a significant cause of bowel obstruction in infants and children.
  • Historical management strategies have varied, impacting patient outcomes.
  • A comprehensive review of intussusception cases provides insights into evolving treatment efficacy.

Purpose of the Study:

  • To analyze the historical trends and management outcomes of intussusception in Newcastle over 25 years.
  • To evaluate the impact of specialized pediatric surgical and radiological care on intussusception treatment.
  • To assess the success rates of different reduction techniques, including hydrostatic and pneumatic methods.

Main Methods:

  • Retrospective analysis of 165 intussusception episodes in 153 patients from 1976-1988.
  • Review of patient presentations and management results.
  • Data collection focused on cases managed by specialized pediatric surgeons and radiologists.

Main Results:

  • A significant reduction in mortality was observed compared to earlier periods.
  • Improved success rates for hydrostatic and pneumatic reduction techniques were noted.
  • The study estimated an 8% overall recurrence rate, with no recurrences in patients with identified lead points.

Conclusions:

  • Concentration of intussusception management in specialized pediatric surgical and radiological teams has improved outcomes.
  • Aggressive and broadened criteria for enema reduction have enhanced treatment success.
  • Further investigation into the observed high incidence in doctors' families may be warranted.

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