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Treatment of intussusception in children operative treatment versus hydrostatic reduction
Insights
Intestinal intussusception in children requires prompt diagnosis and treatment. Barium enema reduction offers a favorable alternative to surgery for treating this serious abdominal emergency.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Intestinal intussusception is a critical pediatric emergency with significant mortality if delayed.
- Current management strategies for pediatric intussusception remain a subject of debate.
Purpose of the Study:
- To compare the efficacy and outcomes of barium enema reduction versus surgical treatment for intestinal intussusception in children.
- To evaluate the pros and cons of non-operative (barium enema) and operative management.
Main Methods:
- Retrospective review of 19 pediatric patients treated with primary barium enema reduction.
- Comparison of outcomes with a historical series of 14 pediatric patients treated with primary surgery.
Main Results:
- The series of patients treated with barium enema reduction demonstrated favorable outcomes.
- Barium enema reduction proved to be an effective primary treatment modality.
Conclusions:
- Barium enema reduction is a viable and effective primary treatment for pediatric intestinal intussusception.
- This approach may offer advantages over immediate surgical intervention in select cases.
Abstract:
Intestinal intussusception is a serious abdominal emergency in infancy and childhood, with a high mortality-rate if not diagnosed and treated early. Since the management of intussusception in children is still controversial, the pro's and con's for barium enema reduction and for surgical treatment are discussed. The results of our own series of 19 patients primarily treated by barium-enema reduction compare favourably with a previous series of 14 patients treated by primary surgery.