J Korean Radiol Soc.  1987 Feb;23(1):147-153. 10.3348/jkrs.1987.23.1.147.

Pneumoreduction of intussusception during infancy and childhood

• Kim YK
• Kim JC
• Suh KJ
• Kim TH
• Kim YJ
• Kang DS
• Shin MC

• KMID: 2359669
• DOI: http://doi.org/10.3348/jkrs.1987.23.1.147

Abstract

Intussusception is the commonest cause of acquired intestinal obstruction during infancy & early childhood.Almost all patients can be treated by conservative method. during the period between Sep. 1983 and Aug. 1986, pneumoreduction was peformed in 107 cases of intussusception who were admitted to Kyungpook National University Hospital. The results were as follows: 1. Males were more afected than femalesas a ratio of 1.7:1, and the patients were under the age of 1 in 72.0%. 2. Slight prevalence was notd during summer. 3. Preceding URI historywas present in 58.9% of patients. 4. The common symptoms and signs were irritability 93.5%, paroxysmal crying86.0%, vomiting 83.2% and abdominal mass 41.1%. 5. The causes were unknown in 98.1% of patients. 6. The overall success rate was 91.6%. Higher reduction rate was noted in the patients whose duration of symptoms was less than48 hours, and ileocolic or colocolic type recorded much higher reduction rate than ileoileal or ileoileocolictype. 7. The time and pressure required for redution in most cases were within 30 minutes and 61-100 mmHg. 8. Two cases of bowel peforation were observed, but could be treated surgically without any significant problem. 9. Recurrence rate was 8.2%. 10. We observed several advantages of pneumoreduction such as simplicity, higher successrate, absence of life-threatening complications and lower cost, without significant disadvantage over barium reduction or operation.

MeSH Terms

Barium
Gyeongsangbuk-do
Humans
Intestinal Obstruction
Intussusception*
Male
Methods
Prevalence
Recurrence
Vomiting
Barium