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Intussusception: Single Center Experience of 10 Years

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To analyze the association between the clinical presentation, clinical course, management and outcome in intussusception with emphasis on safety of saline hydrostatic reduction.


This retrospective study included 375 patients of intussusception diagnosed between March 2007 to February 2017. Symptoms at presentation, mode of reduction of intussusception and associated complications were recorded.


336 (89.6%) patients were aged below 3 years. Classical triad of abdominal pain, vomiting and red stools was present in 111 (29.6%) patients. While 64 (17.1 %) patients had spontaneous resolution, hydrostatic reduction and surgery cured 283 (75.5 %) and 28 (7.4 %) patients, respectively; overall recurrence rate was 13.1%. Among the patients who underwent operative reduction, blood in stools was present in 15 (53.6%) patients.


Hydrostatic reduction of intussusception is effective irrespective of duration of symptoms and number of recurrences.

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  1. Ein SH, Stephens CA. Intussusception: 354 cases in 10 years. J Pediatr Surg. 1971;6:16–27.

    Article  CAS  PubMed  Google Scholar 

  2. Bines JE, Ivanoff B, Justice F, Mulholland K. Clinical case definition for the diagnosis of acute intussusception. J Pediatr Gastroenterol Nutr. 2004;39:511–8.

    Article  PubMed  Google Scholar 

  3. Gierup J, Jorulf H, Livaditis A. Management of intussusception in infants and children: A survey based on 288 consecutive cases. Pediatrics. 1972;50:535–46.

    CAS  PubMed  Google Scholar 

  4. Daneman A, Navarro O. Intussusception. Part 2: An update on the evolution of management. Pediatr Radiol. 2004;34:97–108.

    PubMed  Google Scholar 

  5. Schuh S, Wesson DE. Intussusception in children 2 years of age or older. CMAJ. 1987;136:269–72.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Yap shiyi E, Ganapathy S. Intussusception in children presenting to the emergency department: An Asian Perspective. Pediatr Emerg Care. 2017;33:409–13.

    Article  PubMed  Google Scholar 

  7. Beasley SW. The ‘ins’ and ‘outs’ of intussusception: Where best practice reduces the need for surgery. J Paediatr Child Health. 2017;53:1118–22.

    Article  PubMed  Google Scholar 

  8. Justice FA, Auldist AW, Bines JE. Intussusception: Trends in clinical presentation and management. J Gastroenterol Hepatol. 2006;21:842–6.

    Article  PubMed  Google Scholar 

  9. Yalcin S, Ciftci AO, Karaagaoglu E, Tanyel FC, Senocak ME. Presenting clinical features and outcome in intussusception. Indian J Pediatr. 2009;76:401–5.

    Article  PubMed  Google Scholar 

  10. Kornecki A, Daneman A, Navarro O, Connolly B, Manson D, Alton DJ. Spontaneous reduction of intussusception: clinical spectrum, management and outcome. Pediatr Radiol. 2000;30:58–63.

    Article  CAS  PubMed  Google Scholar 

  11. Fallon SC, Lopez ME, Zhang W, Brandt ML, Wesson DE, Lee TC, et al. Risk factors for surgery in pediatric intussusception in the era of pneumatic reduction. J Pediatr Surg. 2013;48:1032–6.

    Article  PubMed  Google Scholar 

  12. Eklöf O, Reiter S. Recurrent intussusception. Analysis of a series treated with hydrostatic reduction. Acta Radiol Diagn (Stockh). 1978;19:250–8.

    PubMed  Google Scholar 

  13. Hsu WL, Lee HC, Yeung CY, Chan WT, Jiang CB, Sheu JC, et al. Recurrent intussusception: When should surgical intervention be performed? Pediatr Neonatol. 2012;53: 300–3.

    Article  PubMed  Google Scholar 

  14. Sandler AD, Ein SH, Connolly B, Daneman A, Filler RM. Unsuccessful air-enema reduction of intussusception: is a second attempt worthwhile? Pediatr Surg Int. 1999;15:214–6.

    Article  CAS  PubMed  Google Scholar 

  15. Ein SH. Recurrent intussusception in children. J Pediatr Surg. 1975;10:751–5.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to John Joseph.

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Simon, N.M., Joseph, J., Philip, R.R. et al. Intussusception: Single Center Experience of 10 Years. Indian Pediatr 56, 29–32 (2019).

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