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Exclusion criteria for enema reduction of intussusception are still a matter of debate.
A right hemicolectomy with reduction of intussusception and anastomosis of bowel was done.
Kita et al. reported recurrence of intussusception within 1 year of manual reduction of intussusception.
The concurrent presence of sub-serosal air significantly decreased the chances of successful reduction of intussusception [5].
Sonologic detection of pneumatosis intestinalis in combination with other findings such as bowel wall ischemia (no flow on Doppler), peritoneal fluid and enlarged lymph nodes on the ultrasound may prognosticate failure of non-surgical reduction of intussusception.
Similar(54)
More recently, manual reduction of the intussusception followed by definitive surgical resection has been advocated.
Generally, surgical intervention with reduction of the intussusception followed by gastropexy has been advocated as the treatment of choice by most authors [ 5, 14, 15, 17, 18, 23].
Possible ultrasonographic risk stratification for operative reduction and unsuccessful non-surgical reduction for intussusception can be derived based on the presence of intramural air [5].
Data of randomly controlled trials comparing the hydrostatic and pneumatic reduction for intussusception in pediatric patients as initial therapy are lacking.
Evaluation is needed into outcome measures such as time to fluoroscopic reduction and emergency department length of stay when POCUS is used for the evaluation of intussusception.
Usually, reduction with conservative treatment like air or barium enema was successful, but surgery was required in about 1/4 of intussusception patients.
Related(18)
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