The effectiveness of pneumoreduction for intussusception

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Serkan Arslan
Cüneyt Turan
Selim Doganay
Mahmut Güzel
Özlem Yandim
Ahmet Burak Dogan
Ali Aslan
Mustafa Küçükaydin

Abstract

INTRODUCTION: To detect the effectiveness of pneumoreduction (PR) in intussusception, which is one the most common reasons of abdominal pain in infancy and childhood.


METHODS: The records of patients treated in our clinic for intussusception between January 2005 and June 2012 were reviewed retrospectively. There were 150 patients aged between 2 months – 12 years of age; 48% (72) were girls, 52% (78) were boys.


RESULTS: The most common complaint and clinical findings were abdominal pain (94,6%), vomiting (82.6%), rectal bleeding (81.3%), and discomfort (70.9%). An abdominal mass was observed in 73.3% of patients. PR was successfully performed in 86% of patients. It was carried out once in 86% of these patients and twice in 8.1%. PR was unsuccessful in six patients and they underwent surgery. Manual reduction (31 or 67.4% of operated patients) and resection – anastomosis (15 or 32.6 % of patients) were performed by surgery. Perforation occured in two patients (1.3%) during manual reduction.


CONCLUSION: PR is an effective method in the treatment of intussusception with a high success ratio and a low complication ratio. It was possible to perform the procedure especially in patients who came in the early stage of the condition.

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How to Cite
Arslan, Serkan, et al. “The Effectiveness of Pneumoreduction for Intussusception”. Annali Italiani Di Chirurgia, vol. 85, no. 5, Sept. 2014, pp. 459-63, https://annaliitalianidichirurgia.it/index.php/aic/article/view/2483.
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