Skip to main content
SpringerLink
Log in

Intussusception — A change in policy where management has been satisfactory

  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Summary

Since 1976 we have changed our policy on patients with intussusception admitted to Our Lady's Hospital for Sick Children, Crumlin, Dublin. Where possible, hydrostatic reduction with barium enema is used as the initial means of treatment. Since this change in policy, 70% of our patients had attempted hydrostatic reductions, of which 51% were successful. There were no late recurrences or deaths in our series.

It is recommended that:

  1. 1.

    Hydrostatic barium enema reduction should be attempted in childhood intussusception regardless of the duration of symptoms. Our only contraindication would be evidence of perforation or peritonitis.

  2. 2.

    The procedure should be carried out by an experienced radiologist.

  3. 3.

    Adequate resuscitation should be given before, during and after the procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Dennison, W. M. and Shaker, M. 1970. Intussusception in infancy and childhood. Br. J. Surg. 57, 679.

    Article  PubMed  CAS  Google Scholar 

  • Douglas, B. S. 1969. Perforation of the bowel during barium enema reduction of intussusception in infants. Aust. Paediatr. J. 5, 116.

    Google Scholar 

  • Eklof, O. and Reiter, S. 1978. Recurrent intussusception analysis of a series treated with hydrostatic reduction. Acta Radiol. Scand. (Stock R) 19, 250.

    CAS  Google Scholar 

  • Given, H. F. and O'Donnel, B. 1979. The pattern of childhood intussusception. Irish Med. J. 72, 472.

    CAS  Google Scholar 

  • Hirschsprung, H. 1876. Tilfaelde of subukut tarminvagination. Hospitalstid 3, 321.

    Google Scholar 

  • Hutchison, F., Olayiwola, B. and Young, D. G. 1980. Intussusception in infancy and childhood. Br. J. Surg. 67, 209.

    Article  PubMed  CAS  Google Scholar 

  • Hutchinson, J. 1873. A successful case of abdominal section for intussusception. Proc. R. Med. Chir. Soc. 7, 195.

    Google Scholar 

  • Retan, G. M. 1927. Non-operative treatment of intussusception. Am. J. Dis. Child. 33, 765.

    Google Scholar 

  • Ravitch, M. M. 1958. Intussusception in infancy and childhood: 199 cases, 77 treated by barium enema. N. Engl. J. Med. 259, 1058.

    PubMed  CAS  Google Scholar 

  • Ravitch, M. M. 1979. Paediatric Surgery. 3rd Edition, Vol. 2, 989. Year Book Medical Publishers Inc. Chicago, London.

    Google Scholar 

  • Wayne, E. R., Campbell, Burrington, J. D., Davis, W. S. 1973. Management of 344 children with intussusception. Radiology 107, 597.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Our Lady's Hospital for Sick Children, Crumlin, Dublin 12

    Donal F. Courtney, J. Kelleher & Barry O'Donnell

Authors
  1. Donal F. Courtney
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Kelleher
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Barry O'Donnell
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Courtney, D.F., Kelleher, J. & O'Donnell, B. Intussusception — A change in policy where management has been satisfactory. I.J.M.S. 150, 69–72 (1981). https://doi.org/10.1007/BF02938202

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02938202

Keywords

Search

Navigation