J Korean Radiol Soc.  1994 Jan;30(1):181-185.

Reduction of Intussusception by Air Insufflation in Children: Recent Three-year Experience

• Seo GS
• Bae SH
• Lee IJ
• Lee KH
• Yun KS
• Lim HK

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.

MeSH Terms

Child*
Humans
Insufflation*
Intussusception*
Logistic Models
Mortality