WOFAPS 2025 8th World Congress of Pediatric Surgery

Mostafa Abdelatty ¹, Mostafa Kotb ¹, Ahmed Aboelela ¹, Mostafa Zain ¹, Mohamed Mansy ²

¹ Pediatric Surgery Department, Alexandria University, Alexandria, Egypt
² Lecturer of Pediatric Surgery, Port Said Faculty of Medicine, Port Said, Egypt

Abstract

Background: Intussusception is the most common abdominal emergency in pediatrics, especially in children younger than 2 years of age. It is widely believed that hydrostatic reduction of intussusception is less successful in children with prolonged symptoms prior to their presentation. The aim of this study was to evaluate the success of hydrostatic reduction in relation to the duration of the symptoms.

Patients and Methods: A prospective study was conducted at Alexandria University Hospitals where all children presented with ultrasound proven intussusception from January 2021 to May 2023 were included. In all cases, hydrostatic reduction was performed unless there was clinical or radiological evidence of peritonitis or perforation. Patient details, including the presenting symptoms, duration of these symptoms, physical findings, and the findings on abdominal x ray and ultrasound were prospectively recorded.

Results: Out of 174 children presenting with intussusception, hydrostatic reduction was attempted in 148 and was successful in 117 (79%). There were 20 successful reductions with symptoms <12 hours (76%), 45 with symptoms for 12-24 hours (83%), and 35 with symptoms for 24-48 hours (76%) and 17 with symptoms >48 hours (77%).

Conclusions: The success of the hydrostatic reduction was not significantly affected by duration of symptoms.