Prospective surveillance study of the management of intussusception in UK and Irish infants

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L Samad1, S Marven, H El Bashir

  • 1UCL Institute of Child Health, London, UK. l.samad@ucl.ac.uk

The British Journal of Surgery
|December 20, 2011
PubMed

Insights

This study on infant intussusception found non-bilious vomiting common. While enema reduction was successful in 61.2%, surgery was needed for 42.5%, with most infants recovering well.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Research

Background:

  • Intussusception is the leading cause of acute intestinal obstruction in infants.
  • Understanding its presentation, management, and outcomes is crucial for pediatric care.

Purpose of the Study:

  • To examine the clinical presentation, management strategies, and outcomes of intussusception in infants.
  • To establish a benchmark for current standards of care.

Main Methods:

  • Prospective surveillance of intussusception cases in the UK and Ireland from March 2008 to March 2009.
  • Notification of cases by pediatric clinicians via monthly cards.

Main Results:

  • 261 cases identified; non-bilious vomiting was the most frequent symptom (80.5%).
  • Abdominal ultrasonography was highly diagnostic (98.0%), superior to X-ray (23.6%).
  • Enema reduction succeeded in 61.2% (pneumatic), with 42.5% requiring surgery; 39.6% of surgeries involved bowel resection. Most infants (91.2%) recovered without complications.

Conclusions:

  • The study outlines current treatment patterns for infant intussusception.
  • Findings provide a benchmark for enhancing the standard of care for this condition.
Abstract

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