Objectives: Intussusception is rare in infants younger than 4 months, and the use of air enema for reduction of intussusception has been limited. In this retrospective study, we analyzed the predictors of successful reduction of intussusception using air enema in infants younger than 4 months.. Methods: This is a retrospective chart review of 97 intussusception patients of younger than 4. Mar 06, · Intussusception is an important cause of small bowel obstruction in children. Non-operative reduction (NOR) is the preferable method of treatment to start with as long as there are no contraindications to its use and where facilities are available. Pneumatic reduction has become a popular therapeutic method for intussusception instead of surgery in many centers.
Pneumatic reduction of intussusception under ultrasound guidance is a quick, safe, simple, with a high success rate, radiation-sparing effect. Success rate is highly affected by the duration of symptoms and location of mass. The procedure is not devoid of recurrence risk and possibility of developing pneumoperitoneum. INTUSSUSCEPTION IS the most common cause of intestinal obstruction in infants and young children. Intussusception occurs when one segment of bowel telescopes into another, leading to venous compression and bowel wall edema. If not diagnosed and treated early, the disease process may progress to arterial obstruction, bowel necrosis, perforation, and, rarely, death. 1,
Keyw ords: intussusception, pneumatic reduction, hydrostatic reduction, success rate. Introduction. Intussusception is a common surgical emergency in infants and children. The inci-. Intussusception is a common childhood abdominal surgical emergency worldwide resulting in considerable morbidity and mortality if not promptly treated. Ultrasound-guided pneumatic reduction has been proven to be the most reliable and successful non-operative management option with the least complication rate.
The intussusception can be treated with either a barium or water-soluble contrast enema or an air-contrast enema, which both confirms the diagnosis of intussusception, and in most cases successfully reduces it. The success rate is over 80%. However, approximately 5–10% of . Twenty-nine patients had intussusception. Their ages ranged from 3 to 20 months (mean: 7 months), and all had ileo-colic involvement. Pneumatic reduction was successful in 23 cases (79%), and reduction was completed within minutes in all successfully reduced cases.
Intussusception reduction is a procedure performed in pediatric patients who have an ileocolic intussusception.. There are several ways that reduction can be achieved radiologically: air-reduction under fluoroscopic guidance; hydrostatic-reduction under fluoroscopic guidance. CONCLUSION: Pneumatic reduction is a safe and effective method in pediatric intussusception. If one is confident about treatment success, patients can be discharged without a long observation period. Early discharge is also cost-effective and reduces time loss.