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Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...

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Updated: Jul 16, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Hydrostatic reduction of acute intussusception. A prospective study

N D Duncan1, W Dennis, V Reid

  • 1Department of Surgery, Radiology, Anaesthesia and Intensive Care, University of the West Indies, Mona, Jamaica.

The West Indian Medical Journal
|June 10, 1998
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Summary

Hydrostatic reduction successfully treated 54% of acute intussusception episodes in Jamaican children. This method is recommended as the first therapeutic option for intussusception, avoiding major surgery.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Prompt diagnosis and treatment are crucial to reduce morbidity and mortality.

Purpose of the Study:

  • To evaluate the efficacy and safety of hydrostatic reduction for acute intussusception in Jamaican children.
  • To compare hydrostatic reduction with operative methods.

Main Methods:

  • Prospective data collection on 62 episodes of acute intussusception in 57 children over two years.
  • Application of operative and hydrostatic reduction techniques (barium, saline, air).

Main Results:

  • Successful hydrostatic reduction was achieved in 31 (54%) of episodes.
  • Common types included ileo-colic, caeco-colic, ileo-ileo-colic, and ileo-ileal intussusception.
  • Two cases of barium hydrostatic perforation occurred, with one fatality.

Conclusions:

  • Hydrostatic reduction is a safe and effective first-line treatment for acute intussusception.
  • Successful hydrostatic reduction avoids the need for major operative procedures.
  • Careful consideration of hydrostatic agents is necessary due to potential complications.