Comparison of Different Modalities for Reducing Childhood Intussusception

Medical Journal of the Islamic Republic of Iran

Volume 2 - Number

Article Type: ---- Unspecified ----

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.