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Ten-year review of intussusception at Starship Hospital: 1998-2007

Hemal Kodikara1, Amiria Lynch, Phillip Morreau

  • 1Starship Children's Hospital, Auckland, New Zealand. hemal83@hotmail.com

The New Zealand Medical Journal
|October 19, 2010
PubMed

Insights

Intussusception management in children shows air enema reduction is effective, but Maori and Pacific children have poorer outcomes. Further research is needed for national guidance.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Accurate diagnosis and timely management are crucial for favorable outcomes.

Purpose of the Study:

  • To review intussusception cases at Starship Children's Hospital.
  • To analyze demographics, treatment success rates, and outcomes.
  • To inform national management guidelines for intussusception in New Zealand.

Main Methods:

  • Retrospective case series.
  • Data collected from patients diagnosed with intussusception between 1998 and 2007.
  • Analysis of demographics, presenting features, and treatment outcomes.

Main Results:

  • 189 patients analyzed; classic triad present in 30%.
  • Air enema reduction successful in 78.7% of cases.
  • 28.6% required surgery, with 26 resections; obstruction and symptom duration predicted failure.

Conclusions:

  • Intussusception rarely presents with the classic triad.
  • Air enema is a safe and effective treatment with low complication rates.
  • Maori and Pacific children experienced higher rates of failed reduction and surgery.
Abstract

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