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[Conservative treatment of intestinal invagination in children]
Insights
This study introduces hydrostatic disinvagination using barium enemas for pediatric intussusception. Tailoring pressure to colon tone improves treatment success and prevents perforation, achieving high cure rates.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Context:
- Intussusception is a common surgical emergency in children.
- Conservative management is preferred when feasible.
- Hydrostatic reduction is a primary non-operative treatment.
Purpose:
- To describe a novel method for conservative treatment of intussusception in children.
- To correlate colon durability with colon tone.
- To optimize hydrostatic pressure based on colon tone to enhance treatment efficacy and safety.
Summary:
- A new technique for hydrostatic disinvagination using barium enema for pediatric intussusception is presented.
- Colon durability was found to be proportional to its tone.
- Hydrostatic pressure should be adjusted according to colon tone to prevent colon perforation and improve outcomes.
- The method successfully treated 46 out of 48 children with acute intestinal invagination, including two cases of small intestine invagination.
- No complications or fatalities were observed in the treated group.
Impact:
- This method offers a safer and more effective non-operative approach for pediatric intussusception.
- It provides a guideline for pressure management during hydrostatic reduction, potentially reducing complications.
- The high success rate suggests this technique could become a standard of care.
Abstract:
A new method of the conservative treatment of intussusceptions in children by hydrostatic disinvagination with the help of barium enema is described. The durability of the colon was shown to change proportionally to its tone. To make the conservative treatment more efficient and to prevent a perforation of the colon the hydrostatic pressure should depend on the colon tone. Out of 48 patients with acute intestinal invagination 46 children were cured by this method including 2 children with small intestine invagination. In this group of patients there were neither complications nor lethal outcomes.