Reduction of Intussusception by Air Insufflation in Children: Recent Three-year Experience.
10.3348/jkrs.1994.30.1.181
- Author:
Gwy Suk SEO
;
Sang Hoon BAE
;
In Jae LEE
;
Kyung Hwan LEE
;
Ku Sub YUN
;
Hyo Keun LIM
- Publication Type:Original Article
- MeSH:
Child*;
Humans;
Insufflation*;
Intussusception*;
Logistic Models;
Mortality
- From:Journal of the Korean Radiological Society
1994;30(1):181-185
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was conducted to evaluate success and perforation rates of pneumatic reduction and to find the predictors of reduction failure. METHODS AND MATERIALS: We reviewed 224 cases of pediatric intussusception diagnosed by air-enema between July, 1989 and June, 1992. The mean age was 9.8 months(range, 1 month to 3 years). Logistic regression analysis was used to find predictors of reduction failure. RESULTS: Successful reduction was achieved in 197 cases(87.9% of success rate). Bowel perforation occurred in two cases(0.9% of perforation rate). There were two statistically significant predictors of failure;(1) ileoileocolic intussusception(p<.001), (2) long duration of symptom(p<.001). Surgery was performed in 26 cases (11.6%), of which seven required bowel resection. CONCLUSION: Pneumatic reduction is a useful means in the management of pediatric intussusception with a high success rate and no mortality.
