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Intussusception in Johannesburg. A review of 81 cases
Insights
Children from lower socioeconomic backgrounds with intussusception present later and need surgery more often. Intravenous ketamine improved barium reduction rates in this pediatric intussusception study.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Public health
Background:
- Intussusception is a common surgical emergency in children.
- Socioeconomic factors can influence disease presentation and outcomes.
- Barium reduction is a primary treatment method, but success rates vary.
Purpose of the Study:
- To investigate disparities in intussusception presentation between different socioeconomic groups.
- To evaluate the impact of intravenous ketamine on barium reduction success.
- To identify factors influencing the need for bowel resection.
Main Methods:
- Retrospective analysis of pediatric intussusception cases.
- Comparison of clinical presentation, treatment, and outcomes based on socioeconomic status.
- Assessment of barium reduction rates before and after the introduction of intravenous ketamine.
Main Results:
- Significant differences in sex ratio and age at presentation between socioeconomic groups.
- Underprivileged children presented with more advanced disease and higher rates of bowel resection.
- Intravenous ketamine administration led to a significant increase in the barium reduction rate.
Conclusions:
- Socioeconomic status is a critical factor in pediatric intussusception presentation and management.
- Delayed presentation in underprivileged children correlates with increased surgical intervention.
- Intravenous ketamine is an effective adjunct for improving barium reduction success in intussusception.
Abstract:
The difference in presentation between two different social groups of children with intussusception was investigated. The sex ratio of the two groups was different. The underprivileged children presented later in the disease and consequently required bowel resection more frequently. The introduction of intravenously administered ketamine increased the barium reduction rate significantly.