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Intussusception in children: reduction with repeated, delayed air enema

A Gorenstein1, A Raucher, F Serour

  • 1Division of Pediatric Surgery, Edith Wolfson Medical Center, Holon, Israel.

Radiology
|March 12, 1998
PubMed

Insights

Repeated, delayed pneumatic reduction for intussusception significantly improves success rates. This approach enhances outcomes by allowing multiple air enema trials, especially in longer-presenting cases.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Pneumatic reduction is a standard, non-operative treatment for intussusception.

Purpose of the Study:

  • To evaluate the efficacy of pneumatic reduction for intussusception.
  • To determine the impact of repeated, delayed air enema trials on treatment success.

Main Methods:

  • Seventy-one patients with intussusception underwent pneumatic reduction using air enemas.
  • Treatment protocols were compared: single trial (pre-1993) vs. up to three trials (post-1993).
  • Patients were stratified by symptom duration: <12 hours, 12-24 hours, >24 hours.

Main Results:

  • Overall success rate for pneumatic reduction was 83% (59/71).
  • Success rates improved significantly since 1993 with repeated trials (91% vs. 70%, P < .05).
  • Higher success rates were observed in shorter symptom duration groups, but repeated trials benefited all groups.

Conclusions:

  • Repeated, delayed pneumatic reduction significantly enhances treatment outcomes for intussusception.
  • The strategy of allowing multiple air enema attempts is crucial for improving success rates.
  • Pneumatic reduction remains a safe and effective primary treatment for intussusception with no reported complications.
Abstract

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