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Pneumatic reduction of intussusception in children
M O Rawashdeh1, M R Shraideh, S M Natour
1Department of Paediatrics, Jordan University of Science and Technology, Irbid.
Annals of Tropical Paediatrics
|January 1, 1995
Summary
Air enema is a safe and effective method for diagnosing and treating intussusception in children. This simple technique achieved a high success rate for pneumatic reduction, making it the preferred treatment for uncomplicated cases.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Intussusception is a common surgical emergency in infants and children.
- Plain abdominal films have limitations in diagnosing intussusception.
- Effective reduction techniques are crucial for favorable outcomes.
Purpose of the Study:
- To evaluate the efficacy and safety of air enema for intussusception diagnosis and reduction.
- To assess the success rate of pneumatic reduction using a home-made device.
- To establish air enema as a potential treatment of choice.
Main Methods:
- Prospective study of 36 children with suspected intussusception.
- Utilized a simple, home-made air enema device for diagnosis and reduction.
- Compared air enema findings with plain abdominal radiography.
Main Results:
- Air enema accurately diagnosed or excluded intussusception in all suspected cases.
- Pneumatic reduction was successful in 79% (23/29) of intussusception cases.
- No perforations or recurrences were observed during follow-up (1-25 months).
Conclusions:
- Air enema is a safe, cost-effective, and reliable method for intussusception management.
- Pneumatic reduction with air enema is highly successful in uncomplicated intussusception.
- Air enema should be considered the primary treatment for uncomplicated intussusception.