A CLINICAL STUDY OF INTUSSUSCEPTION IN CHILDREN

Background: Intussusception is one of the classic subjects of paediatric surgery. It is defined as the telescoping of one segment of bowel into another. It is one of the most common paediatric emergencies under the age of 2 years and is an important cause of small bowel obstruction in children if left untreated leads to fatal complications.Early diagnosis helps to reduce mortality and morbidity.For many years open surgery has been its mode of treatment worldwide but since few years there is a paradigm shift in its management from immediate laparotomy after resuscitation to non-operative management. The current non-operative methods which are being used in the management of intussusception include hydrostatic and pneumatic method i.e., giving enema by using fluid or air. The pneumatic method of reduction of intussusception under ultrasound guidance is emerging as the method of choice for the management of intussusception in children. Aims & Objectives 1. To study the clinical profile of paediatric patients with intussusception. 2. To assess the ultrasound guided pneumatic reduction of intussusception in children. 3. To study the complications and recurrence rate after the ultrasound guided pneumatic reduction of intussusception. Materials And Methods After obtaining Ethical committee clearance from the VIMS Bellary, a prospective case series study of 50 children who were admitted in Vijayanagar Institute of Medical Sciences, Bellary with diagnosis of acute intussusception was conducted. The study period was between November 2012 to April 2014. Informed written consent was obtainedfrom all the cases. Thorough clinical history was taken and physical examination including per rectal examination was done. All children clinically suspected of having acute intussusception were evaluated by real time ultrasonography and those with positive findings on sonography confirming intussusception were entered into the study. Thusthe clinical profile of intussusception and ultrasound guided pneumatic reduction was studied. Results: Higher male preponderance was observed in our study, out of 50 patients who reported to us, 3