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Related Experiment Videos

Intussusception in the 1990s: has 25 years made a difference?

S H Ein1, D Alton, S B Palder

  • 1Division of General Surgery, Hospital for Sick Children, Toronto, Ontario, Canada, M5G 1X8.

Pediatric Surgery International
|July 1, 1997
PubMed
Summary
This summary is machine-generated.

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Management of infant intussusception has improved significantly. Air enema hydrostatic reduction is now highly successful, reducing the need for surgery and improving outcomes for children with intussusception.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Previous management strategies had varying success rates and complication profiles.

Purpose of the Study:

  • To compare the current management of intussusception in infants and children with practices from 25 years prior.
  • To evaluate the efficacy and safety of air enema hydrostatic reduction.

Main Methods:

  • Retrospective review of 188 intussusception patient records (1985-1990).
  • Comparison with a previous series from 1959-1968.
  • Analysis of clinical presentation, diagnostic methods, treatment outcomes, and complications.

Main Results:

  • Air enema hydrostatic reduction achieved 81% success, a significant improvement from 45% in the earlier series.

Related Experiment Videos

  • Surgical intervention decreased from 55% to 19%, with a reduction in resection rates.
  • Recurrence rates increased slightly, but air enema successfully reduced all recurrences.
  • No deaths were reported in the recent series.

    • Conclusions:

    • Air enema hydrostatic reduction is a safe and highly effective treatment for intussusception in infants and children.
    • Current management strategies have led to improved outcomes, reduced surgical necessity, and eliminated mortality.
    • Continued vigilance for intussusception and optimization of reduction techniques remain crucial.