| Frequently used non-operative approaches for the management
of intussusception mostly involve fluoroscopy- or ultrasonographyguided
pneumatic or hydrostatic reduction. A few factors such as
presence of peritonitis or free air in the abdomen contraindicate attempts
for non-operative reduction and some conditions such as
rectal bleeding, intestinal obstruction, younger age than 6 months,
and prolonged signs and symptoms more than 72 h have been reported
to reduce the success rate of non-operative reduction.
Nevertheless, presence of any of these factors should not preclude
attempts for reduction due to its high success yet low complication
rates.2,3
Interestingly, on-table reduction has also been successfully
implemented even without the need for radiologic assistance in
low-resource settings in which scarcity of professional radiology
operators is not uncommon.3,4 Considering the fact that even trivial
modifications in the delivery of emergency care in resource-limited
settings might result in remarkable decreases in pediatric inpatient
mortality, attempts for on-table pneumatic or hydrostatic reduction
are suggested to be considered for the management of intussusception |