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. 2011 Sep;8(2):83-7.
Epub 2011 Sep 25.

Comparison of different modalities for reducing childhood intussusception

M Alehossein  1 , P Babaheidarian, P Salamati
Affiliations

Comparison of different modalities for reducing childhood intussusception

M Alehossein et al. Iran J Radiol. 2011 Sep.

Abstract

Background/objective: Idiopathic intussusception is an important abdominal emergency in infancy and childhood. Non operative management for treatment is firstly considered due to less invasiveness, less complications and cost effectiveness compared to surgical treatment. This study summarizes our experience in the management of intussusception in children who were referred to a children hospital.

Patients and methods: A total of 102 children who were diagnosed as having intussusception were referred to one children hospital in Tehran during a period of 10 years, from 1997 to 2007. Reductions were performed upon 57 cases by a radiologist or radiology residents, if there was no medical contraindication. We used chi-square test for analysis.

Results: The success rate of reduction was eight out of 13 (61.5%) with barium, nine out of 17 (53.5%) with air and 22 out of 27 (81.5%) with saline (p value=0.116). One patient had recurrence with air reduction. Another case was complicated by peritonitis using barium enema.

Conclusion: There was no significant relationship between the success rate of reduction and the type of reduction.

Keywords: Children; Intussusception; Invagination.

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Figures

Fig. 1
Fig. 1. A 2-year-old boy presented with colicky abdominal pain from 24 hours before admission and vomiting with recent current jelly stool. Stages of reducing ileocolic intussusception is illustrated by barium enema.
Fig. 2
Fig. 2. A one-year-old girl presented with clinical signs of intussusception from 12 hours before admission. Successful reduction by air enema is noted as pushing intussusceptum from the distal ascending colon A, toward the cecum B, and finally vanishing C.
Fig. 3
Fig. 3. A 9-month-old boy presented with colicky abdominal pain from 36 hours ago. Sonography showed ileocolic intussusception with extension to the middle transverse colon. Successful reduction of intussusception by saline enema and sonographic guidance is noted.
Fig. 4
Fig. 4. Average days of hospitalization in different techniques
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