pediatrics
Intussusception
Treatment of Intussusception
Air enema Surgery if enema unsuccessful or if perforation present If ileocolic intussusception is confirmed, an air enema is used for reduction, which lessens the likelihood and consequences of perforation. The intussusceptum can be successfully reduced in 75 to 95% of children. If the air enema is successful, children are observed overnight to rule out occult perforation. If reduction is unsuccessful or if the intestine has perforated, immediate surgery is required. When reduction is achieved without surgery, the recurrence rate is 5 to 10%. 