Study on Some Effective Factors for Successful Non-Surgical Reduction in Intussusception among Children

Background Intussusception is the main cause of bowel obstruction and one of the most common surgical emergencies that can occur during childhood. That is why this study investigates the effective factors for non-surgical reduction in patients who have experienced successful reduction in intussusception to determine the effective factors. Materials and Methods This retrospective study was performed between 2011 and 2017. The following subjects, including age, gender, degree of reduction, leukocyte level, symptom onset interval, Appearance of Signs and the Visit of Children, presence of blood in stool, free abdominal fluid in ultrasound, and length of the intestinal tract involved in ultrasonography, were extracted. Results A total of 217 patients with intussusception had visited the emergency department. The average of the leukocyte level of children with successful intussusception non-surgical reduction was lesser the children with unsuccessful intussusception non-surgical reduction and there was a significant difference (P<0.0001). The average distance between the appearance of signs and the visit of children was 1.66±0.4 days for successful intussusception non-surgical reduction and 4.31±0.6 days for unsuccessful intussusception non-surgical reduction. There were 30 instances (21.6%) of blood in stool positive and 109 (78.4%) instances of blood in stool negative. Conclusion The success rate of non-surgical reduction is relatively high and has a significant relationship with age, leukocyte level, and the distance between the beginning of signs and visit, the existence of blood in stool, and the length of the involved intestine.

Keywords:

Children , Intussusception reduction , Surgery , Ultrasound