How many days will pneumatic reduction for intussusception take to recover?

Written by Hu Qi Feng
Pediatrics
Updated on September 19, 2024
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The indications of successful reduction of intussusception by air enema treatment are as follows: First, after the removal of the tube, a large amount of foul-smelling mucousy bloody stool and yellow feces are expelled. Second, the patient quickly falls asleep, no longer cries, and ceases to vomit. Third, the abdomen is soft and flat, with no palpable mass as before. Fourth, after the enema reduction, 0.5-1 grams of activated charcoal is administered orally; if charcoal residue is expelled within six to eight hours, it indicates a successful reduction. However, even after successful reduction, it is necessary to remain under observation in the hospital for two to three days to monitor for any recurrence of the intussusception.

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Written by Hu Qi Feng
Pediatrics
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Is infant intussusception dangerous?

Intussusception is a life-threatening emergency, and its reduction is an urgent treatment measure that should be performed immediately once confirmed. It is a common acute abdomen disease in infants and young children. Initially, the general condition may be good, but as the disease progresses, the condition worsens, leading to systemic deterioration, complications such as intestinal necrosis or peritonitis, and severe symptoms of poisoning such as severe dehydration, high fever, lethargy, coma, and shock.

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Written by He Zong Quan
General Surgery
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Intussusception earliest symptoms

The earliest symptoms of intussusception are primarily abdominal symptoms, including mild abdominal distension, abdominal pain, with pain mainly around the navel. This pain generally does not show significant relief and tends to intensify. There may also be cessation of passing gas and stool, and the patient might sometimes experience nausea and vomiting. If the symptoms of intussusception do not alleviate, we carry out an abdominal imaging examination, which may reveal fluid levels, indicating intestinal obstruction, and the intussuscepted bowel can be found. At this point, early air enema reduction can be performed. If the condition is not treated timely, it can lead to aggravated symptoms of intestinal obstruction, and even require surgical treatment.

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Pediatrics
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Does infant intussusception require surgery?

Intussusception lasting between forty-eight and seventy-two hours, or if the duration is shorter but the condition is severe, including cases with intestinal necrosis or perforation, as well as those involving small intestine type intussusception, all require surgical treatment. Depending on the overall condition of the child and the pathological changes in the intussuscepted bowel, options include reduction of intussusception, intestinal resection and anastomosis, or enterostomy, etc.

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Written by Hu Qi Feng
Pediatrics
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Can intussusception heal itself?

Once intestinal intussusception occurs, only a small part can be spontaneously reduced. In most cases, urgent reduction treatment is required, including non-surgical and surgical treatments. Non-surgical treatment mainly involves enema therapy. Within 48 hours of the intussusception, if the overall condition is good, the abdomen is not distended, and there are no obvious signs of dehydration or electrolyte imbalance, barium enema treatment can be applied. If the duration of the intussusception exceeds 48 to 72 hours, or if the condition is severe with intestinal necrosis or perforation, surgical treatment is necessary.

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Written by Hu Qi Feng
Pediatrics
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Can intussusception resolve itself automatically?

Some children with intussusception may resolve spontaneously, but it is important to closely monitor their condition with ultrasound to understand the status of the intussusception. If it does not resolve on its own in a short period, immediate surgical treatment is necessary. If the ultrasound shows successful resolution, or if the child's clinical symptoms such as vomiting and abdominal pain improve and the ultrasound does not reveal any obvious abnormalities, it is considered an automatic recovery.