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General anesthesia for intussusception reduction by enema

Emilien Purenne1, Stéphanie Franchi-Abella, Sophie Branchereau

  • 1Département d'Anesthésie-Réanimation, Hôpitaux Universitaires Paris-Sud, Assistance Publique - Hôpitaux de Paris, Paris, France.

Paediatric Anaesthesia
|October 2, 2012
PubMed

Insights

General anesthesia (GA) significantly increases the success rate of air enema for pediatric intussusception reduction. This approach achieves over 90% success, improving outcomes for bowel obstruction treatment.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Intussusception is a leading cause of bowel obstruction in children.
  • Enema is the primary treatment, but over 50% may require surgery.
  • General anesthesia (GA) is hypothesized to improve enema success rates.

Purpose of the Study:

  • To determine if GA enhances the success rate of air enema for intussusception reduction.
  • To compare air enema success rates between patients receiving sedation versus GA.

Main Methods:

  • Retrospective single-center study (1989-2008).
  • Analysis of patients undergoing air enema for intussusception.
  • Propensity score matching for multivariable analysis comparing sedation and GA groups.

Main Results:

  • Overall air enema success rate improved from 72% to 90%.
  • Delayed treatment (>12 hours) significantly decreased success rates (OR 0.67).
  • GA significantly increased success likelihood (OR 5.66) after propensity score matching.

Conclusions:

  • Air enema under GA achieves over 90% success in reducing intussusception.
  • GA is a valuable tool for improving non-surgical reduction rates.
  • Timely intervention remains critical for successful enema treatment.
Abstract

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