Intussusception Hydrostatic Akira
in Children
Reduction
Minami, MD, Kiyoshi Fujii, MD
The records of 104 patients with the diagnosis of intussusception who were admitted to the Saisei-kai Suita Hospital during the past five years were reviewed. There were no deaths. All patients were treated primarily by barium enema with a successful reduction rate of 82%. Successful reduction requires the use of general anesthesia, repetition of the procedure after a three- or five-minute waiting period, use of a balloon catheter, and manipulation. The most important points are early detection of this disease by the pediatrician and enthusiasm on the part of the surgeon.
is an important emergency in infancy. The management of this disease is still controversial. Some authors ad¬ vocate primary surgical treatment,1-3 while others consider barium enema reduction the method of choice.4"' Hy¬ drostatic reduction of an intussuscep¬ tion has been the initial treatment of choice at the Saisei-kai Suita Hospi¬ tal, Osaka. The purpose of this article is to emphasize the advantage of hy¬ drostatic reduction for the treatment
Intussuscepti surgical on
of
intussusception. SUBJECTS AND METHODS
A total of 104 consecutive patients with intussusception were treated at the Saiseikai Suita Hospital from June 1968 to May 1973. Of 104 patients, we were able to ana¬ lyze in detail about 37 consecutive cases during the last two years (Tables 1 through 3). The diagnosis in every patient was confirmed by fluoroscopic observation.
Those considered to have spontaneous re¬ duction were excluded. There were 70 boys and 34 girls in our series, a ratio of 2:1. This ratio is almost identical with that described by other auReceived for publication March 18, 1974; accepted Sept 23. From the departments of surgery, Osaka Kita Teishin Hospital (Dr. Minami), and Utano National Sanatorium, Kyoto, Japan (Dr. Fujii). Reprint requests to Department of Surgery, Osaka Kita Teishin Hospital, 35, Yamazaki-cho, Kita-ku, Osaka 530, Japan (Dr. Minami).
Downloaded From: http://archpedi.jamanetwork.com/ by a New York University User on 05/21/2015
thors.812 As the following list shows, a large proportion of patients (70%) were un¬ der 1 year, and only 10% of the patients were over 2 years of age.
Age, yr
in Children
Reduction
Minami, MD, Kiyoshi Fujii, MD
The records of 104 patients with the diagnosis of intussusception who were admitted to the Saisei-kai Suita Hospital during the past five years were reviewed. There were no deaths. All patients were treated primarily by barium enema with a successful reduction rate of 82%. Successful reduction requires the use of general anesthesia, repetition of the procedure after a three- or five-minute waiting period, use of a balloon catheter, and manipulation. The most important points are early detection of this disease by the pediatrician and enthusiasm on the part of the surgeon.
is an important emergency in infancy. The management of this disease is still controversial. Some authors ad¬ vocate primary surgical treatment,1-3 while others consider barium enema reduction the method of choice.4"' Hy¬ drostatic reduction of an intussuscep¬ tion has been the initial treatment of choice at the Saisei-kai Suita Hospi¬ tal, Osaka. The purpose of this article is to emphasize the advantage of hy¬ drostatic reduction for the treatment
Intussuscepti surgical on
of
intussusception. SUBJECTS AND METHODS
A total of 104 consecutive patients with intussusception were treated at the Saiseikai Suita Hospital from June 1968 to May 1973. Of 104 patients, we were able to ana¬ lyze in detail about 37 consecutive cases during the last two years (Tables 1 through 3). The diagnosis in every patient was confirmed by fluoroscopic observation.
Those considered to have spontaneous re¬ duction were excluded. There were 70 boys and 34 girls in our series, a ratio of 2:1. This ratio is almost identical with that described by other auReceived for publication March 18, 1974; accepted Sept 23. From the departments of surgery, Osaka Kita Teishin Hospital (Dr. Minami), and Utano National Sanatorium, Kyoto, Japan (Dr. Fujii). Reprint requests to Department of Surgery, Osaka Kita Teishin Hospital, 35, Yamazaki-cho, Kita-ku, Osaka 530, Japan (Dr. Minami).
Downloaded From: http://archpedi.jamanetwork.com/ by a New York University User on 05/21/2015
thors.812 As the following list shows, a large proportion of patients (70%) were un¬ der 1 year, and only 10% of the patients were over 2 years of age.
Age, yr
