Abstract
Barium enema reductions were attempted in 65 (90%) of 72 intussusceptions, of which 51 (79%) were successful. This represents a success rate of 70% overall. The average hospital stay was 3 1/2 days. There was no mortality and, apart from a recurrence rate of 10%, no morbidity. It is suggested that barium enema reduction should be the treatment of choice provided that there is an emergency service of a paediatric radiologist and the patient is adequately resuscitated, the only absolute contraindication being evidence of pneumatosis intestinalis or peritonitis. Those patients who presented with shock, rectal bleeding, duration of symptoms longer than 48 hours, and pronounced degree of bowel obstruction had a higher rate of unsuccessful reduction. However, only the last two were significant. Further, provided that the clinical condition remains satisfactory and the reduction has been achieved to the caecum a repeat barium enema after some hours may be successful in achieving reflux of contrast into the ileum, confirming complete reduction.
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Selected References
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- Bergdahl S., Hugosson C., Laurén T., Söderlund S. Atypical intussusception. J Pediatr Surg. 1972 Dec;7(6):700–705. doi: 10.1016/0022-3468(72)90283-7. [DOI] [PubMed] [Google Scholar]
- Burke T. E., Fitzgerald R. J. Intussusception, volvulus and malrotation. Aust N Z J Surg. 1985 Feb;55(1):73–74. doi: 10.1111/j.1445-2197.1985.tb00859.x. [DOI] [PubMed] [Google Scholar]
- Ching E., Ching L. T., Lynn H. B., O'Connell E. J. Intussusception in children. Mayo Clin Proc. 1970 Oct;45(10):724–728. [PubMed] [Google Scholar]
- Courtney D. F., Kelleher J., O'Donnell B. Intussusception--a change in policy where management has been satisfactory. Ir J Med Sci. 1981 Mar;150(3):69–72. doi: 10.1007/BF02938202. [DOI] [PubMed] [Google Scholar]
- Dennison W. M., Shaker M. Intussusception in infancy and childhood. Br J Surg. 1970 Sep;57(9):679–684. doi: 10.1002/bjs.1800570912. [DOI] [PubMed] [Google Scholar]
- Ein S. H., Mercer S., Humphry A., Macdonald P. Colon perforation during attempted barium enema reduction of intussusception. J Pediatr Surg. 1981 Jun;16(3):313–315. doi: 10.1016/s0022-3468(81)80687-2. [DOI] [PubMed] [Google Scholar]
- Ein S. H., Stephens C. A. Intussusception: 354 cases in 10 years. J Pediatr Surg. 1971 Feb;6(1):16–27. doi: 10.1016/0022-3468(71)90663-4. [DOI] [PubMed] [Google Scholar]
- Eklöf O. A., Johanson L., Löhr G. Childhood intussusception: hydrostatic reducibility and incidence of leading points in different age groups. Pediatr Radiol. 1980 Nov;10(2):83–86. doi: 10.1007/BF01001744. [DOI] [PubMed] [Google Scholar]
- Frye T. R., Howard W. H. The handling of ileocolic intussusception in a pediatric medical center. Radiology. 1970 Oct;97(1):187–191. doi: 10.1148/97.1.187. [DOI] [PubMed] [Google Scholar]
- Humphry A., Ein S. H., Mok P. M. Perforation of the intussuscepted colon. AJR Am J Roentgenol. 1981 Dec;137(6):1135–1138. doi: 10.2214/ajr.137.6.1135. [DOI] [PubMed] [Google Scholar]
- Hutchison I. F., Olayiwola B., Young D. G. Intussusception in infancy and childhood. Br J Surg. 1980 Mar;67(3):209–212. doi: 10.1002/bjs.1800670314. [DOI] [PubMed] [Google Scholar]
- Rosenfrantz J. G., Cox J. A., Silverman F. N., Martin L. W. Intussusception in the 1970s: indications for operation. J Pediatr Surg. 1977 Jun;12(3):367–373. doi: 10.1016/0022-3468(77)90012-4. [DOI] [PubMed] [Google Scholar]
- Wayne E. R., Campbell J. B., Burrington J. D., Davis W. S. Management of 344 children with intussusception. Radiology. 1973 Jun;107(3):597–601. doi: 10.1148/107.3.597. [DOI] [PubMed] [Google Scholar]