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Recurrent intussusception: barium or surgery?

S W Beasley, A W Auldist, K B Stokes

    The Australian and New Zealand Journal of Surgery
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

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    Recurrent intussusception in children is uncommon (4.4%). Recurrences often present with shorter symptom duration and fewer initial misdiagnoses, but specific cases warrant caution with barium reduction.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology

    Background:

    • Intussusception is a common surgical emergency in infants and children.
    • Recurrence rates and management strategies require further investigation.

    Purpose of the Study:

    • To review the incidence, clinical features, and management of recurrent intussusception in children.
    • To identify factors influencing the success of non-operative and operative interventions for recurrent intussusception.

    Main Methods:

    • Retrospective review of pediatric intussusception cases over 16 years.
    • Analysis of recurrence rates, clinical presentation, diagnostic methods, and treatment outcomes.

    Main Results:

    • 28 recurrences (4.4%) out of 630 intussusception episodes.

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  • Recurrent cases showed reduced symptom duration and initial misdiagnosis.
  • Barium reduction success varied; surgery was required in some cases, including one for an inverted Meckel's diverticulum.
  • Conclusions:

    • Recurrent intussusception has distinct clinical features compared to initial episodes.
    • Caution is advised for barium reduction in specific recurrent intussusception cases, particularly in older children or those with multiple recurrences or polyposis.