Intussusception: evolution of current management.
The records of 583 children who were treated for intussusception at the Children's Hospital of Buffalo in the period 1930-1985 were reviewed. Following a change in management in 1970 from operative treatment to hydrostatic reduction of the intussusception by barium enema, two main groups are defined. In earlier years 95% of patients underwent operative reduction whereas in the latter period 92% had barium reduction attempted. The remaining 8% in this group had clinical contraindications for hydrostatic enema attempt. Ten percent had pathological lead points. Recurrent intussusception occurred in 50 cases (8.5%), 66% following barium enema reduction and 33% after surgery. The mortality in the earlier group was 3.9% and 1.3% in the latter group. No deaths occurred in patients treated successfully with barium enema reduction, and there were no deaths in the children with simple uncomplicated intussusception requiring surgery.
Bruce
J
J
Department of Pediatric Surgery, Children's Hospital of Buffalo, NY 14222.
Huh
Y S
YS
Cooney
D R
DR
Karp
M P
MP
Allen
J E
JE
Jewett
T C
TC
D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D008297:Male; D011859:Radiography