Intussusception is a very common pediatric problem and needs early management. Hydrostatic reduction of intussusception has been the gold standard of management. But pneumatic reduction is challenging its position, because of its effectiveness,
low
cost, simplicity and safety. We adopted pneumatic reduction beginning I 1991. From June 1989 to May 1995, 197 pediatric patients with intussusception were admitted to our hospital, among whom 3 patients were operated upon immediately due to the
possibility of generalized peritonitis. Hydrostatic or pneumatic reduction was attempted on 226 occasions for 194 patients. Spontaneous reduction of intussusception occurred on 3 occasion. Therefore, the database consisted of 108 pneumatic and
115
hydrostatic reduction in 191 patients. Pneumatic reduction was successful in 80.1% and hydrostatic reduction in 73.9%(P>0.05, chisquare test). Three cases of colonic perforations occurred during air reduction. Body weight, duration of symptoms,
body
temperture at arrival, and rirst or recurrent attack of intussusception were the statistically significant factors for a successful reduction. The recurrence rates of intussusception after initial successful pneumatic and hydrostatic reduction
were
12.3% and 13.8%, respectively. Based on the above data, we think pneumatic reduction is as goof if not better than hydrostatic reduetion.
|