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Related Experiment Videos

Intussusception: current management in infants and children.

K W West1, B Stephens, D W Vane

  • 1Department of Surgery, Indiana University Medical Center, Indianapolis.

Surgery
|October 1, 1987
PubMed
Summary

Intussusception, a common cause of bowel obstruction in children, had a 42% success rate with barium enema reduction. Prompt surgical intervention is crucial for survival and preventing recurrence.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Radiology

Background:

  • Intussusception is a primary cause of bowel obstruction in infants and children.
  • Recurrences were noted, with most occurring during initial hospitalization.

Purpose of the Study:

  • To analyze treatment outcomes for intussusception over a 15-year period.
  • To evaluate the effectiveness of diagnostic and therapeutic interventions.

Main Methods:

  • Retrospective review of 83 pediatric intussusception cases (1970-1985).
  • Diagnosis via barium enema or plain abdominal X-rays.
  • Hydrostatic reduction attempts and surgical interventions were analyzed.

Main Results:

  • Barium enema achieved hydrostatic reduction in 42% of cases.

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  • Delayed symptoms (>48 hours) correlated with reduction failure.
  • Surgical reduction resulted in no recurrences, with prompt intervention ensuring 100% survival.

    • Conclusions:

    • Delayed diagnosis significantly increases morbidity.
    • Prompt surgical intervention is vital for favorable outcomes in intussusception.
    • Surgical reduction eliminates recurrence risk.