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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
Summary
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.
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