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Comparison of different modalities for reducing childhood intussusception

M Alehossein1, P Babaheidarian, P Salamati

  • 1Associate Professor, Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Bahrami Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Iranian Journal of Radiology : a Quarterly Journal Published by the Iranian Radiological Society
|January 19, 2013
PubMed

Insights

Non-operative management of intussusception in children showed varying success rates across reduction methods. Saline reduction yielded the highest success rate, though no method was significantly superior for treating this common childhood abdominal emergency.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Radiology

Background:

  • Idiopathic intussusception is a critical pediatric abdominal emergency.
  • Non-operative management is preferred for intussusception due to lower invasiveness, fewer complications, and cost-effectiveness compared to surgery.

Purpose of the Study:

  • To summarize the experience in managing pediatric intussusception at a children's hospital.
  • To evaluate the effectiveness of different non-operative reduction techniques.

Main Methods:

  • A retrospective review of 102 children diagnosed with intussusception between 1997 and 2007.
  • Non-operative reductions were performed on 57 cases by radiologists.
  • Statistical analysis using the chi-square test was employed.

Main Results:

  • Success rates for reduction varied: 61.5% with barium, 53.5% with air, and 81.5% with saline.
  • A single case of recurrence occurred with air reduction.
  • One case of peritonitis was noted following barium enema reduction.

Conclusions:

  • No statistically significant difference was found in the success rates of different reduction methods for intussusception.
  • While saline showed a higher success rate in this series, further research may be needed to confirm optimal non-operative management strategies.
Abstract

Keywords:
ChildrenIntussusceptionInvagination

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