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Intussusception Management in Children: A 15-Year Experience in a Referral Center

Carlos Delgado-Miguel1, Antonella García2, Bonifacio Delgado3

  • 1Department of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain. carlosdelgado84@hotmail.com.

Indian Journal of Pediatrics
|July 13, 2022
PubMed

Insights

Ileocolic intussusception (ICI) management is highly successful with nonoperative methods, particularly saline enema reduction. This approach offers a high success rate and low complication risk for pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Radiology

Background:

  • Ileocolic intussusception (ICI) is a common surgical emergency in children.
  • Effective management strategies aim to reduce the intussusception with minimal complications.

Purpose of the Study:

  • To evaluate the 15-year experience in managing ileocolic intussusception (ICI) at a single center.
  • To compare the effectiveness and outcomes of different reduction techniques.

Main Methods:

  • Retrospective analysis of 546 ICI episodes treated between 2005 and 2019.
  • Data included demographics, clinical presentation, treatment modalities (enema reduction, surgery), and outcomes.
  • Success rates, complications, and hospital stay were compared between treatment groups.

Main Results:

  • Nonoperative enema reduction was successful in 85.8% of 478 patients.
  • Hydrostatic saline enema (89.3%) was significantly more effective than pneumatic (80.6%) or barium enema (79.8%).
  • Surgery was performed in 101 patients, with a 5.9% complication rate and longer hospital stay (5 days vs. 1 day).

Conclusions:

  • Nonoperative management of ICI is safe and effective, with low complication and recurrence rates.
  • Saline enema reduction demonstrates the highest success rate and should be considered first-line treatment.
  • Surgical intervention is reserved for cases where nonoperative reduction fails.
Abstract

Keywords:
ChildrenEnema reductionIleocolic intussusceptionSurgical treatment

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