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Intussusception: Single Center Experience of 10 Years

Nithish Mathew Simon1, John Joseph2, Ruhamah Rachel Philip1

  • 1Department of Pediatric Surgery, Pushpagiri Institute of Medical Sciences and Research Center, Thiruvalla, Kerala, India.

Indian Pediatrics
|February 27, 2019
PubMed

Insights

Saline hydrostatic reduction is an effective treatment for intussusception in children, regardless of symptom duration or recurrence. This method offers a safe and successful approach to managing this common pediatric surgical emergency.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Intussusception is a common surgical emergency in infants and young children.
  • Early diagnosis and prompt management are crucial for favorable outcomes.

Purpose of the Study:

  • To analyze the clinical presentation, course, management, and outcomes of intussusception.
  • To evaluate the safety and efficacy of saline hydrostatic reduction.

Main Methods:

  • Retrospective study of 375 patients diagnosed with intussusception (March 2007-February 2017).
  • Data collected on symptoms, reduction methods, and complications.
  • Analysis of clinical presentation, management, and outcomes.

Main Results:

  • Most patients (89.6%) were under 3 years old.
  • Classical symptoms (abdominal pain, vomiting, red stools) present in 29.6%.
  • Hydrostatic reduction achieved a 75.5% cure rate; surgery cured 7.4%. Overall recurrence rate was 13.1%.

Conclusions:

  • Saline hydrostatic reduction is effective for intussusception.
  • Efficacy is maintained regardless of symptom duration or prior recurrences.
  • Highlights the safety and effectiveness of non-operative management.
Abstract

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