Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Jan-Dec;65(1):e15495.
doi: 10.1111/ped.15495.

A large single-center experience in management of pediatric intussusception

Wael M A Elzeneini  1   2 , Eleri Cusick  1
Affiliations
Review

A large single-center experience in management of pediatric intussusception

Wael M A Elzeneini et al. Pediatr Int. 2023 Jan-Dec.

Abstract

Background: The objective of this study was to present the results of a comprehensive single-center study of the management and outcome of intussusception over a 10-year period and to review the recent literature.

Methods: A retrospective analysis was carried out of all children less than 16 years old, admitted with intussusception to our tertiary center between January 2007 and December 2016. Air enema was attempted routinely, with primary surgery reserved for selected cases. If air enema failed, open surgery was performed. The data collected included age, enema reduction rate, need for laparotomy, detail of bowel resection, hospital stay, and complications noted.

Results: One hundred and ninety-one children presented with intussusception, totaling 200 admissions. One hundred and seventy-four patients (87%) underwent air enema. There was a complete reduction in 66% of these cases and a perforation rate of 1.1%. Twenty-six patients (13%) underwent primary surgery. Of the 59 patients with incomplete enema reduction, 50.8% required bowel resection while 49.2% required only manual reduction. Bowel resection was necessitated in 26% of total admissions and 61.2% of those requiring surgery. Hospital stays ranged from 3-97 days (median 7 days). There were four complications (2%).

Conclusion: This comprehensive study reveals a higher rate of surgical intervention and bowel resection than was anticipated from selective series in published literature. Institutional variation in outcome is likely multifactorial but incomplete data make comparisons difficult.

Keywords: air enema; enema reduction; intussusception; pneumatic enema; repeat enema.

PubMed Disclaimer

References

REFERENCES

    1. Daneman A, Navarro O. Intussusception. Part 2: an update on the evolution of management. Pediatr Radiol. 2004;34:97-108.
    1. Sharp NE, Knott EM, Iqbal CW, Thomas P, St. Peter SD. Clinical outcomes following bowel resection versus reduction of intussusception. J Surg Res. 2013;184(1):388-91.
    1. Bonnard A, Demarche M, Dimitriu C, Podevin G, Varlet F, François M, et al. Indications for laparoscopy in the management of intussusception. A multicenter retrospective study conducted by the French study Group for Pediatric Laparoscopy (GECI). J Pediatr Surg. 2008;43(7):1249-53.
    1. Schier F. Experience with laparoscopy in the treatment of intussusception. J Pediatr Surg. 1997;32(12):1713-4.
    1. Laan M, Bax NMA, Zee DC, Ure BM. The role of laparoscopy in the management of childhood intussusception. Surg Endosc. 2001;15(4):373-6.

LinkOut - more resources