Abstract
A series consisting of 658 radiologically diagnosed intussusceptions is analysed. Hydrostatic reduction was successful in 85.2% of cases, the incidence of failure amounting to 14.8%. Analysis demonstrated a marked difference in reduction rate in different age groups. The lowest rate of success was recorded in children over 5 years of age, the group with the highest incidence of leading points. The next lowest rate of success was in those below age 1 year where the frequency of failure was more than 50% higher than in the ages between 1 and 5 years. However, the rate of leading points was approximately the same in both the latter groups and close to the average in entire series. There is no reason to refrain from barium enema reduction in any age group although special care should be exercised in the neonate. With a reasonable experience of method, the risk of overlooking a surgically significant lesion is negligible.
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Eklöf O, Hartelius H (1980) Reliability of the abdominal plain film diagnosis in pediatric patients with suspected intussusception. Pediatr Radiol 9: 199
Bergdahl P, Hugosson C, Laurén T (1972) Atypical intussusception. J Pediatr Surg 7: 700
Wayne ER, Campbell JB, Kosloske AM, Burrington JD (1976) Intussusception in the older child — Suspect lymphosarcoma. J Pediatr Surg 11: 789
Singleton EB, Wagner ML, Dutton RV (1977) Radiology of the alimentary tract in infants and children. Saunders, Philadelphia, p 257–265
Ein SH (1975) Recurrent intussusception in children. J Pediatr Surg 10: 751
Rosenkrantz JG, Cox JA, Silverman FN, Martin LW (1977) Intussusception in the 1970s: Indications for operation. J Pediatr Surg 12: 367
Eklöf O, Reiter S (1977) Recurrent intussusception. Acta Radiol 19: 250
Ching E, Ching LT, Lynn HB (1970) Intussusception in children. Mayo Clin Proc 45: 724
Frye TR, Howard WHR (1970) The handling of ileocolic intussusception in a pediatric medical center. Radiology 96: 187
Gierup J, Jorulf H, Livaditis A (1972) Management of intussusception in infants and children: A survey based on 288 consecutive cases. Pediatrics 50: 535
Patriquin HB, et al (1977) Neonatal intussusception. Radiology 125: 463
Ein SH, Stephens CA (1971) Intussusception: 354 case in 10 years. J Pediatr Surg 6: 16
Wayne ER, et al (1973) Management of 344 children with intussusception. Radiology 107: 597
Hellmer H (1948) Intussusception in children, diagnosis and therapy with barium enema. Acta Radiol [Suppl] 65
Jorulf H, Sedin G (1976) Intussusception in the newborn infant. Report of case. Acta Radiol [Diagn] (Stockh) 17: 641
Ein SH (1976) Leading points in childhood intussusception. J Pediatr Surg 11: 209
Eklöf O, Hugosson C (1976) Post-evacuation findings in barium enema treated intussusceptions. Ann Radiol (Paris) 19: 133
Ippolito RJ, Touloukian RJ (1978) Colocolic intussusception in an older child. Clin Pediatr 17: 720
Franken jr A (1975) Gastrointestinal radiology in pediatrics. Harper & Row, Hagerstown Maryland, p 136
Hoy GR, Dunbar D, Boles ET jr (1977) The use of glucagon in the diagnosis and management of ileocolic intussusception. J Pediatr Surg 12: 939
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Eklöf, O.A., Johanson, L. & Löhr, G. Childhood intussusception: Hydrostatic reducibility and incidence of leading points in different age groups. Pediatr Radiol 10, 83–86 (1980). https://doi.org/10.1007/BF01001744
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DOI: https://doi.org/10.1007/BF01001744