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Result of air enema reduction in 737 cases of intussusception

Anchalee Kruatrachue1, Lawan Wongtapradit, Narong Nithipanya

  • 1Department of Radiology, Queen Sirikit National Institute of Child Health, College of Medicine, Rangsit University, Bangkok, Thailand. anchalek@childrenhospital.go.th

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|November 3, 2011
PubMed

Insights

Air enema reduction for intussusception achieved a 68% success rate at a Thai pediatric center. This safe, non-surgical method is recommended before considering surgery for improved outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a common surgical emergency in children.
  • Historically, barium enema was used, but air enema reduction offers a less invasive alternative.

Purpose of the Study:

  • To evaluate the success rate of air enema reduction for intussusception.
  • To assess the safety and efficacy of this technique at a tertiary pediatric center in Thailand.

Main Methods:

  • Retrospective review of medical records for patients treated between 1992 and 2009.
  • Air enema reduction performed using a modified blood pressure device, with pressure not exceeding 120 mmHg.

Main Results:

  • A 68% success rate was observed in 737 cases (498 successful reductions).
  • Bowel perforation occurred in 0.5% of cases, with no fatalities.
  • Treatment shifted from barium to air enema in 1992.

Conclusions:

  • Air enema reduction is a safe first-line treatment for intussusception prior to surgery.
  • Lower success rates compared to international data may be due to late presentation with small bowel obstruction.
  • Early diagnosis and prompt air enema reduction can prevent the need for surgery.
Abstract

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