Related Experiment Videos
Intussusception in children: a review of 91 cases
Insights
This study evaluated barium enema for intussusception treatment in 91 patients. Barium enema achieved a 78% success rate for reduction, demonstrating its effectiveness in pediatric intussusception management.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Intussusception is a common surgical emergency in infants and children.
- Timely diagnosis and effective reduction are crucial for favorable outcomes.
Purpose of the Study:
- To evaluate the efficacy and outcomes of barium enema reduction for intussusception.
- To assess the success rate and recurrence following hydrostatic reduction.
Main Methods:
- Retrospective analysis of 91 patients treated for intussusception between 1982 and 1984.
- Inclusion criteria: classical radiological appearance on barium enema or intraoperative confirmation.
- Management followed a 1983 protocol, with 90 patients undergoing diagnostic/therapeutic barium enema.
Main Results:
- A 78% success rate for barium enema reduction was achieved, exceeding previous hospital studies.
- Recurrence occurred in 12 patients post-hydrostatic reduction; 11 were successfully reduced with repeat barium enema, one required surgery.
- No mortality and minimal morbidity were observed.
Conclusions:
- Barium enema is a highly effective diagnostic and therapeutic tool for pediatric intussusception.
- The procedure offers a high success rate with low morbidity and mortality.
- Protocol modifications based on recent experience may further optimize patient management.
Abstract:
This is a retrospective study of 91 patients treated for intussusception between 1982 and 1984. Criteria for inclusion in the study were the finding of a classical radiological appearance on Barium enema examination or the presence of an intussusception at operation. The clinical features are described. A protocol of management first reported in 1983 was followed with 90 of 91 patients submitted to a diagnostic and/or therapeutic Barium enema. As a result of recent experience, the protocol has been modified in selected patients at the discretion of the surgeon and the radiologist. A success rate of Barium enema reduction of 78% was achieved, which is higher than in previous Princess Margaret Hospital studies; there was recurrence of the intussusception in 12 patients following hydrostatic reduction. Further Barium enema reduction was successful in 11 and operation in one. There was no mortality and minimal morbidity.