Predictive factor for failure of non-operative treatment intussusception in ChiangRai Prachanukroh hospital
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Abstract
Background: Intussusception is one of the most frequent causes of acute intestinal obstruction in infants and young children. Currently, the primary modality for the management of childhood intussusception is nonoperative hydrostatic or pneumatic reduction, which, success rate depends on many factors. The Overall success rate of non-operative management is 85%, while the success rate of non-operative management in Chiangrai Prachnukroh hospital is only 66%.
Objective: To analyze the factors affecting the failure of non-operative management of intussusception in Chiangrai Prachnukroh hospital.
MethodS: A retrospective review was performed of patients presenting to Chiangrai Prachnukroh hospital with a diagnosis of intussusception during a 10 year study period.
Results: There were 163 cases of intussusception, of which 175 admissions were hospitalized and 159 were non-operative treatments. The success rate of non-operative management was 66.67%. The factors contributing to the failure were a palpable abdominal mass and left sided colonic intussusception.
Conclusions and recommendations: Palpable abdominal mass and intussusception at left colon were factors of non-operative management failure. However, non-operative management (NOM) should always be performed even in the patients with such factors, because NOM has a high success rate.
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