Pneumatic reduction versus surgical reduction in cases of neonatal inutssusception

ABSTRACT

Intussusception is a common pediatric surgical emergency in Egypt. Diagnosis of intussusception is usually based on the clinical history and is confirmed by clinical examination. However, a high index of suspicion coupled with proper radiological studies may be necessary for diagnosis of atypical cases. Management of intussusception is initially non-surgical. Surgery is advised only when non-surgical therapy has failed or is contraindicated. The aim of this work was to evaluate the results of pneumatic reduction in patients suffering from acute infantile intussusception. The results were compared with the known international results. In this prospective study, twenty consecutive cases with the diagnosis of intussusception were managed and followed up for a period of at least 6 months, 18 Cases were offered trials of pneumatic reduction; of the 18 patients there was 14 successes, 3 failures and only one complications in the form of perforation. Six infants were operated upon, two patients were operated upon directly and 4 patients were operated upon after failed or complicated trial of pneumatic reduction. There was no mortality in this study