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Related Experiment Videos

Childhood intussusception.

R P Skipper1, C R Boeckman, R L Klein

  • 1Department of Surgery, Children's Hospital Medical Center, Akron, Ohio.

Surgery, Gynecology & Obstetrics
|August 1, 1990
PubMed
Summary
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Barium enema is the preferred treatment for childhood intussusception, successfully reducing 59% of cases. Surgery is reserved for unsuccessful barium enema reductions, with a low mortality rate of 1.3%.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Radiology

Background:

  • Intussusception is a common and significant surgical emergency in children.
  • Current management involves barium enema and, if necessary, laparotomy.
  • Evaluating treatment outcomes is crucial for optimizing pediatric intussusception care.

Purpose of the Study:

  • To assess the effectiveness and outcomes of current intussusception treatments.
  • To compare the success rates of barium enema reduction versus surgical intervention.
  • To establish the optimal therapeutic approach for childhood intussusception.

Main Methods:

  • Retrospective review of 169 pediatric patients diagnosed with intussusception.
  • Analysis of treatment modalities: barium enema reduction and laparotomy.

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  • Documentation of reduction success, complications, and mortality rates.

    • Main Results:

    • Intussusception confirmed in 157 patients.
    • Successful barium enema reduction in 92 patients (59%).
    • Laparotomy required for 64 patients (41%), with 34 manual reductions (22%) and 30 resections (19%).
    • Overall mortality rate was 1.3% (2 patients).

    Conclusions:

    • Hydrostatic barium enema reduction is the primary treatment of choice for childhood intussusception.
    • Laparotomy should be reserved for cases where barium enema reduction fails.
    • The study supports the established treatment algorithm for pediatric intussusception.