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Recurrent intussusception: safe use of hydrostatic enema
A Fecteau1, H Flageole, L T Nguyen
1Department of Pediatric General Surgery, Montreal Children's Hospital, McGill University, Quebec, Canada.
Journal of Pediatric Surgery
|June 1, 1996
Summary
Recurrent intussusception (RI) is manageable with hydrostatic enema reduction, showing a good success rate even after prior surgery or enema. This safe method offers effective treatment for pediatric intussusception recurrences.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Clinical Management
Background:
- Recurrent intussusception (RI) affects 5-8% of intussusception patients.
- Understanding RI management is crucial for pediatric surgical outcomes.
Purpose of the Study:
- To evaluate the 15-year experience with recurrent intussusception.
- To define optimal management strategies for RI in children.
Main Methods:
- Retrospective review of 258 intussusception patients over 15 years.
- Comparison of symptoms between recurrent and non-recurrent intussusception groups.
- Analysis of hydrostatic enema reduction success rates for RI.
Main Results:
- 10.8% of patients experienced recurrent intussusception (37 episodes).
- Vomiting and bloody stools were less common in RI patients.
- Hydrostatic enema reduction success rate for RI was 62.8%, comparable to initial episodes (68.9%).
- Enema success was 75% after prior enema reduction and 36.3% after prior surgery.
- No complications were reported with enema reduction.
Conclusions:
- Hydrostatic enema reduction is a safe and effective treatment for recurrent intussusception.
- Enema reduction is successful even in cases with prior surgical intervention.
- Early recurrence is common, with 30% of episodes occurring within 24 hours and 74% within 6 months.