Abstract
Our experience of hydrostatic reduction of intussusception by barium enema over the last 7 years is reviewed. There were 115 attempted hydrostatic reductions out of a total of 129 patients diagnosed as having intussusception on barium enema or at surgery. Age at presentation varied from one month to nine years, 81% of patients presenting before one year of age. Of 115 attempted reductions, 63 were successful giving an overall success rate of 55%. Looking at the different age groups, it was found that hydrostatic reduction was much less successful in infants aged 3 months and younger; success rate 20% compared to a 60% success rate in the remainder. Conscious of recent reports in the literature of bowel perforation during attempted hydrostatic reduction in young infants, we suggest that there should be a reappraisal of the role of hydrostatic reduction in the three months and younger age group.
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Armstrong JS, Dunbar ER, Gravis L, Martin L, Rosenkrantz J (1980) Intussusception complicated by distal perforation of the colon. Radiology 136: 77
Courtney DF, Kelleher J, O'Donnell B (1980) Intussusception — change in policy where management has been satisfactory. Ir J Med Sci 150: 69
Douglas BS (1969) Perforation of the bowel during barium enema reduction of intussusception in infants. Aust Paediatr J 5: 116
Ein SH, Mercer S, Humphry A, MacDonald P (1981) Colon perforation during attempted barium enema reduction of intussusception. J Pediatr Surg 16: 313
Eklöf OA, Johansen L, Löhr G (1980) Childhood intussusception: hydrostatic reducibility and incidence of leading points in different age groups. J Pediatr Radiol 10: 83
Mercer S, Carpenter B (1982) Mechanism of perforation occuring in the intussuscipiens during hydrostatic reduction of intussusception. Can J Surg 25: 481
Naylor HG (1970) Hydrostatic perforation of intussusception. Br J Surg 56: 79
Ravitch MM (1979) Pediatric Surgery (3rd edn) Year Book Medical, Chicago, pp 989–1003
Seaman WB, Wells JD (1965) Complications of the barium enema. Gastroenterology 48: 728
Wayne ER, Campbell JB, Burrington JD, Davis WS (1973) Management of 344 children with intussusception. Radiology 107: 597
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Jennings, C., Kelleher, J. Intussusception: influence of age on reducibility. Pediatr Radiol 14, 292–294 (1984). https://doi.org/10.1007/BF01601878
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DOI: https://doi.org/10.1007/BF01601878