ILEO-COLIC INTUSSUSCEPTION;

Abstract

Objective: To evaluate the success rate of hydrostatic reduction of intussusceptionand incidence of complications in late presenting cases. Study Design: prospective study.Place and duration of study: Study was carried out in Armed Forces Institute of Radiologyand Imaging Rawalpindi and different Combine Military Hospitals during last 5 years. Materialsand Methods: All the children up to 2 years age with diagnosis of ileo-colic intussusceptionand 3 days or less history of onset of symptoms were included in the study. Patients with signsof perforation, suspicion of lead point or long intussusceptum protruding through rectum wereexcluded. After plain film evaluation, thin barium was instilled through Foleys catheter underfluoroscopic guidance. Rule of 3 was followed and reduction was considered successful whencontrast refluxed into terminal ileal segment. Follow up plain x-ray and ultrasound was doneafter 48 hours to rule out recurrence. Results: Hydrostatic reduction was successful in 18 outof 21 patients collected during last five years. Reduction was incomplete in one case whileperforation was observed in 2 cases. These complications were observed in the largest group(52%) of patients reporting on 3rd day of onset of symptoms. A significant number (38%) ofpatients reached the hospital within 48 hours. Only 2 (10%) patients presented in first 24 hrsbut uneventful reduction was possible in later two groups. Conclusions: Careful hydrostaticreduction in cases of ileo-colic intussusception reporting within 72 hrs will reduce hospital stayand patient morbidity in most of the cases.