EFFECTIVENESS AND SAFETY OF NON-SURGICAL REDUCTION TECHNIQUES FOR PEDIATRIC INTUSSUSCEPTION: A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.61841/qw5w3s50Keywords:
Intussusception, Non-surgical reduction, Air enema, Contrast enema, Hydrostatic reductionAbstract
Background: Intussusception is a significant cause of acute abdominal pain in children and can lead to severe complications if not promptly treated. Non-surgical reduction techniques, such as air enemas, contrast enemas, and hydrostatic reduction, have emerged as the preferred initial treatment due to their minimally invasive nature and high success rates.
Aims: This systematic review aims to evaluate the effectiveness, safety, and recurrence rates of non-surgical reduction techniques for pediatric intussusception, focusing on air enema, contrast enema, and hydrostatic reduction. Methods: A comprehensive literature search was conducted in Scopus and PubMed databases for studies published between January 2014 and December 2023. Studies were included if they focused on the effectiveness and safety of non-surgical reduction techniques in children. The Cochrane Risk of Bias tool was used to assess the quality of the included studies. Data were synthesized narratively due to heterogeneity in study designs and outcomes.
Results: Ten studies with a total of 1,034 participants met the inclusion criteria. Success rates for non-surgical reduction methods ranged from 65% to 95%, with higher success rates observed in studies utilizing ultrasound-guided techniques. Early intervention, within 24-48 hours of symptom onset, significantly improved outcomes. However, recurrence was reported in approximately 10% of cases. The risk of bias was generally moderate across the included studies.
Conclusion: Non-surgical reduction techniques are effective and safe for managing intussusception in children, particularly when performed early and with appropriate patient selection. Future research should focus on optimizing these techniques, reducing recurrence rates, and improving outcomes through advances in imaging and pressure-control technologies. These findings have important implications for clinical practice, highlighting the need for timely and accurate diagnosis and treatment of intussusception in pediatric populations. Funding: This review was conducted without external funding.
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