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Factors Associated with a Failed Nonoperative Reduction of Intussusception in Children

Bahubali Deepak Gadgade1, Veerabhadra Radhakrishna1, Nitin Kumar1

  • 1Department of Paediatric Surgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.

Journal of Indian Association of Pediatric Surgeons
|December 16, 2021
PubMed

Insights

Delayed presentation and abdominal distension are key factors in failed nonoperative reduction of intussusception in children. These indicators increase the risk of surgical intervention and potential intestinal nonviability.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Diagnostics

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Nonoperative reduction is the primary treatment modality.
  • Identifying factors for reduction failure is crucial for timely intervention.

Purpose of the Study:

  • To evaluate factors associated with failed nonoperative reduction of intussusception.
  • To identify predictors of increased need for surgery in intussusception cases.

Main Methods:

  • Retrospective study including children diagnosed with intussusception.
  • Analysis of data from a tertiary care pediatric surgery hospital (November 2013 - February 2020).
  • Utilized pneumatic reduction and logistic regression analysis.

Main Results:

  • 84% of 106 children had successful pneumatic reduction.
  • Presentation at or after 48 hours and abdominal distension significantly increased failure risk (OR=11.3 and OR=4.46 respectively).
  • Delayed presentation and abdominal distension also predicted increased need for surgery (OR=2.812 and OR=8.758 respectively).

Conclusions:

  • Late presentation (≥48 hours) and abdominal distension are significant risk factors for failed nonoperative reduction.
  • These factors are associated with a higher likelihood of requiring surgery.
  • Delayed diagnosis increases the risk of intestinal nonviability.
Abstract

Keywords:
Hydrostatic reductionintussusceptionpneumatic reductionsurgery

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