title: Intussusception: evolution of current management.
abstract: 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.
authors.affiliation: Department of Pediatric Surgery, Children's Hospital of Buffalo, NY 14222.
authors.forename: J
authors.initials: J
authors.lastname: Bruce
authors.forename: Y S
authors.initials: YS
authors.lastname: Huh
authors.forename: D R
authors.initials: DR
authors.lastname: Cooney
authors.forename: M P
authors.initials: MP
authors.lastname: Karp
authors.forename: J E
authors.initials: JE
authors.lastname: Allen
authors.forename: T C
authors.initials: TC
authors.lastname: Jewett
mesh_terms: 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