Intussusception

Author:

Bruce James1,Huh Young Soo1,Cooney Donald R.12,Karp Melvyn P.134,Allen James E.13,Jewett Theodore C.134

Affiliation:

1. Department of Pediatric Surgery The Children's Hospital of Buffalo Buffalo New York

2. Section of Pediatric Surgery The University of Buffalo State University of New York Buffalo New York

3. Department of Surgery The University of Buffalo State University of New York Buffalo New York

4. Department of Pediatrics The University of Buffalo State University of New York Buffalo New York

Abstract

SummaryThe records of 583 children who were treated for intussusception at the Children's Hospital of Buffalo in the period 1930–1985 were reviewed. Following a change in management in 1970 from operative treatment to hydrostatic reduction of the intussusception by barium enema, two main groups are defined. In earlier years 95% of patients underwent operative reduction whereas in the latter period 92% had barium reduction attempted. The remaining 8% in this group had clinical contraindications for hydrostatic enema attempt. Ten percent had pathological lead points. Recurrent intussusception occurred in 50 cases (8.5%), 66% following barium enema reduction and 33% after surgery. The mortality in the earlier group was 3.9% and 1.3% in the latter group. No deaths occurred in patients treated successfully with barium enema reduction, and there were no deaths in the children with simple uncomplicated intussusception requiring surgery.

Publisher

Wiley

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