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Intussusception: a case review.

A Walker, L I Giltman

    Southern Medical Journal
    |March 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    This review of intussusception cases found a high rate of anatomic lead points and low success for hydrostatic reduction. Glucagon administration significantly improved hydrostatic reduction success rates in pediatric patients.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology

    Background:

    • Intussusception is a significant cause of bowel obstruction in children.
    • Previous studies highlight challenges in managing intussusception, particularly with hydrostatic reduction techniques.

    Purpose of the Study:

    • To review intussusception cases over a decade at Erlanger Medical Center.
    • To analyze patient demographics, clinical presentation, and treatment outcomes.
    • To evaluate the efficacy of glucagon in improving hydrostatic reduction success.

    Main Methods:

    • Retrospective review of 24 intussusception cases from December 1971 to December 1981.
    • Analysis of patient demographics, symptoms (vomiting, pain, rectal bleeding), and presence of lead points.
    • Assessment of hydrostatic reduction success rates with and without glucagon administration prior to barium enema.

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    Main Results:

    • A disproportionate number of affected patients were white (92%) with a 2:1 male to female ratio.
    • Common symptoms included vomiting, pain, and bleeding per rectum; high occurrence of anatomic lead points noted.
    • Hydrostatic reduction success rate was initially low (4/20 attempts).
    • Glucagon administration increased hydrostatic reduction success to 7 of 20 attempts (75% improvement).

    Conclusions:

    • Intussusception management in this cohort was characterized by frequent lead points and limited success with standard hydrostatic reduction.
    • Pre-procedural glucagon administration demonstrated a significant improvement in the success rate of hydrostatic reductions for intussusception.