Pneumatic reduction of pediatric intussusception : experience at Queen Rania Al-Abdullah Hospital for Children

Abstract EN

Objective: To report our experience in the management of pediatric intussusception using Pneumatic reduction regarding the outcome, complications, success and failure rates.

Method: A retrospective study was done at Queen Rania Al-Abdullah Hospital for Children in the period from September 2012 to December 2014, total number of cases were forty five, thirty two were males (71.1%) and thirteen were females (28.9%), male to female ratio was 2.5:1, The ages of patients ranged from two months to three years with a mean age of 9 months.

Results: Pneumatic reduction under fluoroscopic guidance was done for forty five patients who presented with intussusception for the first time and for four recurrent intussusceptions that had occurred in four patients.

In forty cases (88.9%) Pneumatic reduction was successful while unfortunately it failed in five cases (11.1%).

No intestinal perforations occurred using this technique.

Conclusion: Pneumatic reduction under fluoroscopic guidance is a safe, simple, cost effective technique with a high success rate; it is a quick procedure, easy to perform with a low radiation exposure.