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Intussusception: barium or air?

S B Palder1, S H Ein, D A Stringer

  • 1Division of General Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.

Journal of Pediatric Surgery
|March 1, 1991
PubMed
Summary
This summary is machine-generated.

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Air enema is the preferred method for reducing intussusception, showing similar success rates to barium enema but with fewer complications. This study supports air enema as the initial treatment of choice for intussusception.

Area of Science:

  • Pediatric Radiology
  • Gastroenterology

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Traditionally, barium enema was used for reduction, but air enema has emerged as an alternative.

Purpose of the Study:

  • To compare the efficacy and safety of air enema versus barium enema for intussusception reduction.
  • To evaluate factors associated with successful reduction and complications.

Main Methods:

  • Retrospective review of 200 consecutive intussusception cases.
  • 100 patients treated with barium enema and 100 with air enema.
  • Comparison of success rates, complications, and recurrence between the two methods.

Main Results:

  • Successful reduction rates were similar: 75% for barium enema and 76% for air enema.

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  • Complications included perforations (3 with barium, 2 with air) and recurrence (18 with barium, 9 with air).
  • Failure was associated with lead points or ileoileal/ileoileocolic intussusceptions.

    • Conclusions:

    • Air enema is a safe and effective alternative to barium enema for intussusception reduction.
    • Air enema offers advantages due to lower X-ray absorption and inert nature.
    • Air enema is recommended as the treatment of choice for initial management of intussusception.