Abstract
PURPOSE: This study was conducted to evaluate success and perforation rates of pneumatic reduction and to
find the predictors of reduction failure.
METHODS AND MATERIALS: We reviewed 224 cases of pediatric intussusception diagnosed by air-enema between
July, 1989 and June, 1992. The mean age was 9.8 months(range, 1 month to 3 years). Logistic regression
analysis was used to find predictors of reduction failure.
RESULTS: Successful reduction was achieved in 197 cases(87.9% of success rate). Bowel perforation occurred
in two cases(0.9% of perforation rate). There were two statistically significant predictors of failure;(1)
ileoileocolic intussusception(p<.001), (2) long duration of symptom(p<.001). Surgery was performed in 26 cases
(11.6%), of which seven required bowel resection.
CONCLUSION: Pneumatic reduction is a useful means in the management of pediatric intussusception with a
high success rate and no mortality.