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Pain-related distress in children undergoing air enema reduction for ileocolic intussusception: a proof-of-concept

Nachshon Buchshtav1, Lea Ohana Sarna Cahan2,3, Neta Cohen4,5

  • 1Pediatric Emergency Department, Ha'Emek Medical Center, Afula, Israel.

Pain Reports
|September 25, 2025
PubMed

Insights

Children undergoing air enema reduction for intussusception experience significant pain and distress. This study highlights the need for further research into pain management during this common pediatric procedure.

Area of Science:

  • Pediatric Gastroenterology
  • Pain Management in Children
  • Medical Procedures

Background:

  • Ileocolic intussusception is a primary cause of acute intestinal obstruction in young children.
  • Standard treatment involves air enema reduction under fluoroscopic guidance.
  • The potential pain and distress associated with this procedure remain under-investigated.

Purpose of the Study:

  • To investigate and report on pain-related distress in children undergoing air enema reduction for ileocolic intussusception.
  • To provide initial data on patient discomfort during this intervention.

Main Methods:

  • A convenience sample of 5 pediatric patients in the emergency department was observed.
  • The Face, Legs, Activity, Cry, and Consolability (FLACC) scale was used to assess pain at 8 points during the procedure.
  • Staff also provided observer-based Visual Analog Scale (VAS) assessments upon completion.

Main Results:

  • The median age of the children was 10 months.
  • Air enema reduction success varied by attempt number.
  • Children not receiving sedation or analgesia exhibited high FLACC scores (6-9), particularly during air insufflation.

Conclusions:

  • Air enema reduction for intussusception is associated with considerable pain-related distress in children.
  • These findings represent the first report on pain during intussusception reduction.
  • Larger-scale studies are warranted to explore pain and distress in this context.
Abstract

Keywords:
Air enemaChildDistressIntussusceptionPainReduction

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