Abstract
Over a 38-month period, prospective data were collected on all episodes of intussusception treated at the Royal Children's Hospital, Melbourne. There were 170 initial episodes for which a gas enema was performed, 127 of which were reduced successfully. Recurence occured in 10 patients following initial successful gas enema reduction, a recurrence rate of 7.9%, which compares with a recurrence rate of 8.9% with barium (P = 0.896). We conclude that the gas enema does not have a higher rate of recurrence than barium and that there is no evidence of a significant incidence of incomplete reduction unrecognised at the time of gas enema.
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Beasley SW, Auldist AW, Stokes KB (1987) Recurrent intussusception: barium or surgery? Aust N Z J Surg 57: 11–14
Beasley SW, Glover JM (1992) Intussusception: Prediction of outcome following gas enema. J Pediatr Surg 27: 474–475
De Campo JF, Phelan E (1989) Gas reduction of intussusception. Pediatr Radiol 19: 297–298
Glover JM, Beasley SW, Phelan E (1991) Intussusception: the effectiveness of gas enema. Pediatr Surg Int, 6: 195–197
Gu L, Alton DJ, Daneman A, Stringer DA, Liu P, Wilmot OM, Reilly BJ (1988) Intussusception reduction in children by rectal insufflation of air. Am J Radiol 150: 1345–1348
Guo J, Ma X, Zhou Q (1986) Results of air pressure enema reduction of intussusception, 6396 cases in 13 years. J Pediatr Surg 21: 1201–1203
Hermann BE, Becker J (1960) Recurrent acute intussusception — a survey. Surg Clin North Am 40: 1009–1018
Phelam E, De Campo JF, Malecky G (1988) Comparison of oxygen and barium reduction of ileocolic intussusception. Am J Radiol 150: 1349–1352
Stringer DA, Ein SH (1990) Pneumatic reduction: advantages, risks and indications. Pediatr Radiol 20: 475–477
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Correspondence to: S. W. Beasley
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Renwick, A.A., Beasley, S.W. & Phelan, E. Intussusception: recurrence following gas (oxygen) enema reduction. Pediatr Surg Int 7, 361–363 (1992). https://doi.org/10.1007/BF00176593
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DOI: https://doi.org/10.1007/BF00176593