J Korean Surg Soc.
2000 Oct;59(4):526-531.
Comparison of Barium Reduction and Pneumatic Reduction of Intussusception in Children: A Surgeon's View
- Affiliations
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- 1Department of General Surgery, Inha Hospital, College of Medicine, Inha University, Seongnam, Korea.
Abstract
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PURPOSE: Pneumatic reduction has rapidly replaced traditional barium reduction owing to its potential
advantages, such as higher reduction rate and greater safety; however, the effects on surgery after
reduction failure have not been studied. In this study, we evaluated the influences of attempted barium
and pneumatic reductions on subsequent surgical procedures. METHODS: One hundred and sixty-one
barium reductions were performed on 158 patients while 153 pneumatic reductions were performed on
145 patients. Statistical comparisons of these two reduction methods were made regarding the following
variables: the reduction rates, frequencies of bowel perforations and recurrences, mean operation times,
fasting periods, and durations of admission. RESULTS: The reduction rates were similar for both
groups with barium reduction being successful in 67.1% of the cases (108/161) and pneumatic
reduction in 69.3% (106/153). Two cases of bowel perforation occurred during the pneumatic
reductions, none were noted during the barium reductions. Recurrence of intussusception was
noted in three cases initially reduced with barium and in nine cases reduced pneumatically. The
mean operation time (130.7 minutes vs. 81.7 minutes), postoperative fasting time (61.6 hours
vs. 37.6 hours), and duration of admission (6.7 days vs. 5.4 days) were significantly prolonged
in the pneumatic reduction group. CONCLUSION: A part from a comparable reduction rate
pneumatic reduction demonstrated no favorable outcome relative to barium reduction.
Furthermore, it resulted in some obstacles to surgery and recovery, such as prolonged operation
time, fasting period, and duration of admission.