Evaluating Pediatric Intussusception Treatment Approaches and Prognostic Insights

Original Article

Abstract

Background: Intussusception exists as a frequent pediatric emergency in which parts of intestinal tissue fold inside adjacent segments leading to blockage. The condition develops primarily between children who are six months to three years old. When intussusception remainsundiagnosed treatmenteligible time frames complications such as bowel necrosis and perforation can occur. Researchers examined diagnostic precision alongside treatment success and intussusception trajectory to understand its medical outcomes in pediatric patients.

Objectives: to access diagnosis, therapeutic results and extended medical outcomes from intussusception treatment of 100 hospitalized pediatric patients within the Department of Gastroenterology MTI at LRH Peshawar should be assessed.

Study Design: A Retrospective Study.

Place and Duration of Study: Department of Gastroenterology, MTI, LRH Peshawar, from January 2019 to July 2023.

Methods: Medical records from pediatric intussusception cases totaling 100 patients (2019–2023) were examined. The researchers analyzed the observed symptoms together with X-ray results and treatment modalities and predicted medical outcomes. Three primary treatment methods consisting of ultrasound-guided air enema and conservative management and surgical procedures upheld intervention specificity. The research utilized standard deviation for statistical variability measurement and p-value (<0.05) as the main metric for proving statistical significance.

Results:  62 percent of the 100 patient group was male and their average age was 2.5 ± 0.6 years. Air enema successfully diagnosed 80% of intussusception cases but surgical intervention became necessary in 20%. Complications were observed in 7 patients (7%). On average patients stayed in the hospital for 2.6 ± 1.1 days. The success of treatment depended strongly on when patients sought medical help (x = 4.82; df = 1; p = 0.02).

 Conclusions: Timely diagnosis of pediatric intussusception combined with proper management leads to advantageous healing outcomes for children. Traditional air enema stands as the preferred treatment method which frequently avoids requiring surgical interventions. Every patient benefits from early medical response since most patients experience positive long-term results.

Keywords: Intussusception, Pediatrics, Diagnosis, Treatment