A clinical and radiological review of 204 cases of intussusception in infants and early children

It is a recent trend to perform the farium reduction for intussusception if the general condition of the patients permits. In cases of failure of barium reduction, operative reduction is the next procedure. We have performed barium reduction on 204 cases of intussusception that were admitted to W.M.B.H. from Jan. 1976 to Mar.1979. We reviewed these cases and reported the following results 1. The ratio of male to female was 1.9 : 1. 2. 97% patients were under 2 years of age, 88% under 1 year of age. No patients were under 1 month of age. 3. The most prevalent season is the spring n(Mar. to May). 4. The presenting points at barium enema were in the hepatic flexure (36.3%), Cecum (30.9%) and Transverse colon (29.4%). 5. The etiology was unknown in most of cases (93.1%). 6. The clinical symptoms and signs were as follows; bloody stool (91.2%), vomitting(87.7%), palpable mass (55.4%), abdominal distension (31.4%),etc.7. The types of intussusception at operation were ileocolic (28.9%), ileocecal (22.2%), and ileoileal (11.1%), etc. 8. The reduction rate of barium enema in relation to the duration of symptoms was about 80% within 24 hours and about 73% over 24 hrs. 9. The type of management was barium reduction primarily, and in the cases of the failure, operative procedure was followed. 10 . The reduction rate of barium enema in relation to the findings of plain film was 76.4% in cases of no fowel obstruction and 79.6% in cases with fowel obstruction. 11. The recurrence rate was 7.4% and 3 cases expired after operative reduction.