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The effectiveness of pneumoreduction for intussusception
Insights
Pneumoreduction (PR) is a highly effective treatment for intussusception, a common cause of abdominal pain in children. This minimally invasive method boasts a high success rate and low complication risk, particularly when initiated early.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Intussusception is a frequent cause of abdominal pain in infants and children.
- Early diagnosis and intervention are crucial for favorable outcomes.
Purpose of the Study:
- To evaluate the effectiveness and safety of pneumoreduction (PR) for treating intussusception.
- To determine the success and complication rates of PR.
Main Methods:
- Retrospective review of 150 pediatric patients treated for intussusception between January 2005 and June 2012.
- Analysis of clinical presentation, PR success rates, and surgical interventions when PR failed.
Main Results:
- Abdominal pain, vomiting, and rectal bleeding were the most common symptoms.
- Pneumoreduction was successful in 86% of patients, with most requiring only one procedure.
- Six patients (4%) required surgery, with manual reduction performed in 67.4% and resection-anastomosis in 32.6%.
Conclusions:
- Pneumoreduction is an effective and safe treatment for intussusception in children.
- The procedure has a high success ratio and a low complication ratio.
- Early presentation of intussusception favors successful PR outcomes.
Introduction:
To detect the effectiveness of pneumoreduction (PR) in intussusception, which is one the most common reasons of abdominal pain in infancy and childhood.
Methods:
The records of patients treated in our clinic for intussusception between January 2005 and June 2012 were reviewed retrospectively. There were 150 patients aged between 2 months - 12 years of age; 48% (72) were girls, 52% (78) were boys.
Results:
The most common complaint and clinical findings were abdominal pain (94,6%), vomiting (82.6%), rectal bleeding (81.3%), and discomfort (70.9%). An abdominal mass was observed in 73.3% of patients. PR was successfully performed in 86% of patients. It was carried out once in 86% of these patients and twice in 8.1%. PR was unsuccessful in six patients and they underwent surgery. Manual reduction (31 or 67.4% of operated patients) and resection - anastomosis (15 or 32.6 % of patients) were performed by surgery. Perforation occured in two patients (1.3%) during manual reduction.
Conclusion:
PR is an effective method in the treatment of intussusception with a high success ratio and a low complication ratio. It was possible to perform the procedure especially in patients who came in the early stage of the condition.
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