Intussusception: Single Center Experience of 10 Years

ABSTRACT

Objective: To analyze the association between the clinical presentation, clinical course,management and outcome in intussusception with emphasis on safety of saline hydrostaticreduction. Methods: This retrospective study included 375 patients of intussusceptiondiagnosed between March 2007 to February 2017. Symptoms at presentation, mode ofreduction of intussusception and associated complications were recorded. Results: 336(89.6%) patients were aged below 3 years. Classical triad of abdominal pain, vomiting andred stools was present in 111 (29.6%) patients. While 64 (17.1 %) patients had spontaneousresolution, hydrostatic reduction and surgery cured 283 (75.5 %) and 28 (7.4 %) patients,respectively; overall recurrence rate was 13.1%. Among the patients who underwentoperative reduction, blood in stools was present in 15 (53.6%) patients. Conclusion:Hydrostatic reduction of intussusception is effective irrespective of duration of symptoms andnumber of recurrences