PEDIATRICS INTUSSUSCEPTION MANAGING IN BASRAH PROVINCE

Author Name: 1. Nawfal Jalil Abbood Altaeema 2. Amjad Mortatha Hameed Almusawi

Volume/Issue: 07/01

Country: Iraq

DOI NO.: 08.2020-25662434 DOI Link: https://doi-ds.org/doilink/06.2026-75643687/UIJIR

Affiliation:

1. Pediatric Surgery Department, Al-sayab Teaching Hospital, Basrah Health Directorate, Basrah, Iraq.
2.  Albasrah Specialized Hospital For Children, Basrah Health Directorate, Basrah, Iraq.

ABSTRACT

Background: Intussusception is one of the most common gastrointestinal emergencies in infants and young children, often requiring immediate diagnosis and intervention to prevent serious complications such as bowel ischemia, necrosis, and perforation. Early recognition and appropriate management are essential for achieving favorable outcomes. This study aimed to evaluate the clinical outcomes, effectiveness of treatment modalities, and recurrence patterns of children diagnosed with intussusception and managed at our institution. Methods: A retrospective study was conducted by reviewing the medical records of pediatric patients treated for intussusception. Data were collected from patient charts, as well as operative records. Variables analyzed included demographic characteristics, treatment approaches, underlying etiologies, recurrence rates, and treatment outcomes. Results: 155 children were diagnosed and treated for intussusception. Non-operative management using ultrasound-guided hydrostatic reduction was successful in 76.8% of cases, thereby avoiding surgical intervention in most patients. Recurrence was observed in 4 cases. Overall outcomes were favorable when prompt diagnosis and treatment were achieved. Conclusion: Most pediatric intussusception cases are idiopathic in origin; however. Timely diagnosis and intervention are critical to preventing bowel compromise and other severe complications. Ultrasonography remains the diagnostic modality of choice due to its high accuracy and non-invasive nature. Furthermore, hydrostatic reduction continues to be the preferred first-line treatment, even in patients experiencing recurrent episodes, owing to its high success rate and minimally invasive approach..

Key words: Intussusception, Hydrostatic reduction, melena, BPR, abdominal pain