Intussusception in Chiangrai Hospital : Factors associated with outcome. A 5-year Review

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Suteera Kungwanchai


Intussusception is one of the most common abdominal emergency in infants and young children. The purpose of this review was to assess the factors associated with outcome of nonsurgical management and to report the other concerned data of intussusception cases in Chiangrai hospital. A retrospective chart review of all intussusception cases seen at Department of Radiology, Chiangrai
hospital over a 5-year period ( 1 January 2002 to 31 December 2006) was conducted. Age, sex, clinical presentation, duration of symptoms before nonsurgical management, methods of definite diagnosis and methods of treatment were recorded. There were twenty-four cases of intussusception with age between 4 months to 6 years. Most of patients were diagnosed by sonography ( 16124,67%) before underwent barium reduction. The others were diagnosed and promptly reduced with barium enema. Successful rate of barium reduction was 42% ( 10124). Successful reduction rate in cases of duration of symptoms less than 24 hours was 100%. High failure rate of barium reduction ( 86%) was found in cases of duration more than 48 hours. In fourteen irreducible cases, eleven patients underwent explore laparotomy for manual reduction and appendectomy, three patients with duration of symptoms more than 72 hours underwent bowel resection. The duration of symptoms directly associated with increases rate of failure reduction and complicated surgery.


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Kungwanchai, S. . (2022). Intussusception in Chiangrai Hospital : Factors associated with outcome. A 5-year Review. Lampang Medical Journal, 28(1), 45–52. Retrieved from
Original Article


Daneman A, Alton DJ. Intussusception: issues and controversies related to diagnosis and reduction.

Raiol Clin North Am 1996 July;34(4):743-56.

Katz M, Phelan E, Carlin JB, Beasley SW. Gas enema for the reduction of intussusception: relation between clinical signs and symtoms and outcome. AJR AM J Roentgenol 1993;160:363-6.

Shiels II WE, Maves CK, Hedlund GL, Kirks DR. Air enema for diagnosis and reduction of intussusception: clinical experience and pressure correlates. Radiology 1991;181:169-72.

Carneiro PM, Kisusi DM. Intussusception in children seen at Muhimbili National Hospital, Dar es Salaam.

East Afr Med J 2004 Sep;81990:439-42.

Guo JZ, Ma XY, Zhou QH. Results of air pressure enema reduction of intussusception: 6,396 cases in 13 year.

J Pediatr Sur 1986;21:1201-3.

Zheng JY, Frush DP, Guo JZ. Review of pneumatic reduction of intussusception: evolution not revolution. J Pediatr Sur 1994;65:871-3.

Reijnen JAM, Festen C, van Roosmalen. Intussusception: factors related to treatment. Arch Dis Child 1990;65:871-3.

Lam AH, Firman K. Value of sonography included color doppler in the diagnosis and management of long standing intussusception.

Pediatr Gastroenterol Nutr 1989;8:343-7.

Lim HK, Bae SH, Lee KH, et al. Assessment of reducibility of ileocolic intussusception in children: usefullness of colour doppler sonography.

Radiology 1994;191:781-5.

Pracos JP, Tran-Minh VA, Morin DE, et al. Acute intestinal intussusception in children: contribution of ultrasonography (145 cases).

Ann Radiol 1987;30:525-30.

Lee HC, Yeh HJ, Leu YJ. Intussusception: the sonographic diagnosis and its value. J Pediatr Gastroentero Nutr 1989;8:243-7.