Enema reduction of intussusception: the success rate of hydrostatic and pneumatic reduction.

Khorana, Jiraporn; Singhavejsakul, Jesda; Ukarapol, Nuthapong; Laohapensang, Mongkol; Wakhanrittee, Junsujee; Patumanond, Jayanton

doi:10.2147/TCRM.S92169

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Enema reduction of intussusception: the success rate of hydrostatic and pneumatic reduction.

Author(s): Jiraporn Khorana, Jesda Singhavejsakul, Nuthapong Ukarapol, Mongkol Laohapensang, Junsujee Wakhanrittee, Jayanton Patumanond

Publication date: 2015

Journal: Therapeutics and Clinical Risk Management

Publisher: Dove Medical Press Ltd.

Keywords: success rate, pneumatic reduction, intussusception, hydrostatic reduction

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Abstract

Intussusception is a common surgical emergency in infants and children. The incidence of intussusception is from one to four per 2,000 infants and children. If there is no peritonitis, perforation sign on abdominal radiographic studies, and nonresponsive shock, nonoperative reduction by pneumatic or hydrostatic enema can be performed. The purpose of this study was to compare the success rates of both the methods.

Most cited references 13

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Acute intussusception in infants and children as an adverse event following immunization: case definition and guidelines of data collection, analysis, and presentation.

Patricia Vermeer, John T Murphy, Johannes Forster … (2004)

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Intussusception. Part 2: An update on the evolution of management.

A Daneman, Oscar Navarro (2004)

Children with symptomatic ileocolic or ileo-ileocolic intussusceptions can be successfully managed in one of a number of different ways. The nonoperative enema reduction technique has major advantages over surgical reduction and high success rates can be achieved using pneumatic or hydrostatic reduction techniques under fluoroscopic or sonographic guidance. This article highlights current concepts and some controversial issues related to management of intussusception, including patient selection for attempted enema reduction, the advantages and disadvantages of each technique, complications, the value of delayed, repeated reduction attempts, the role of imaging after attempted enema reduction, and recurrence of intussusception.

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Risk factors for surgery in pediatric intussusception in the era of pneumatic reduction.

Sara Fallon, Mónica E. Riojas-López, Wei Zhang … (2013)

Surgical treatment is still necessary for intussusception management in a subgroup of patients, despite advances in enema reduction techniques. Early identification of these patients should improve outcomes.