Predicting Factors of Reducibility of Invagination with Barium Enema in Children

Intussusception is the telescoping of one portion of the intestine in to another. The appropriate treatment can reduce the complication, mortality and morbities. The first line of non surgical treatment is contrast enema. This study was done to identification the clinical and laboratory predictors of successof barium enema. This was a cross-sectional study that considered all the children with intussusceptions, who were refered in 2009 and 2010 to Alzahra hospital, Iran. All of the needed information including age, sex, fever, leukocytosis, free fluid in sonography, time of symptom appearance and positive bloody stool was recorded in a questionnaire. Then we committed Barium enema for all of them, and evaluate the relationship between the success of barium enema with gathered data by chi square and Student t-test. In this study we evaluated 45 children with intussusceptions. In 18 subjects the barium enema treatment was success. The results of this study showed a significant correlation between positive blood stool and free fluid in sonography with unsuccessful of barium enema treatment. According to our results in children with bloody stool or free fluid in sonography we recommend only one time barium enema. If the treatment is unsuccessful, it is better to advise patients for open surgery.