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The obstructed intussusception in childhood

S R Potts, N Murphy

    The Ulster Medical Journal
    |January 1, 1984
    PubMed

    Insights

    Barium enema is the preferred treatment for early childhood intussusception. However, it is less effective in late cases with bowel distension, with only one successful reduction in 22 obstructed cases.

    Area of Science:

    • Pediatric surgery
    • Gastroenterology
    • Radiology

    Background:

    • Intussusception is a common surgical emergency in early childhood.
    • Barium enema is the standard non-surgical treatment for intussusception.
    • A subset of intussusception cases present with small bowel distension, complicating management.

    Purpose of the Study:

    • To evaluate the efficacy of barium enema reduction in childhood intussusception, particularly in cases with bowel distension.
    • To analyze the success rate of barium enema in obstructed intussusception cases.

    Main Methods:

    • Retrospective review of 65 intussusception cases treated at the Royal Belfast Hospital for Sick Children over five years.
    • Analysis of treatment outcomes, focusing on barium enema success rates in obstructed cases.

    Main Results:

    • Barium enema is effective in early childhood intussusception.
    • In late-stage intussusception with significant air and fluid distension of the small bowel, barium enema is less effective.
    • Only one successful barium enema reduction was achieved in 22 obstructed intussusception cases.

    Conclusions:

    • Barium enema reduction is less successful in obstructed intussusception with bowel distension.
    • Alternative reduction methods should be considered for these challenging cases.

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