Treatment of uncomplicated intussusception in children: saline enema without ultrasound guidance: a case series

Abstract

Introduction: A retrospective study was done to assess the efficacy of saline reduction without radiological guidance for uncomplicated intussusceptions at a tertiary care children's hospital from April 2014 to May 2015. Methods: Clinical records of consecutively admitted 103 children were analysed. Results: 85 children were successfully treated with a single attempt of saline reduction while another 11 patients were successfully managed with second or third attempt of saline reduction. Only seven children needed laparoto my. Overall success rate of the procedure in this sample was 93.2%. Conclusions: Hydrostatic reduction can be used effectively and safely in the absence of ultrasound facilities to manage uncomplicated intussusceptions.