الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 82 |  |  |
| | | from | 82 | | |
Abstract
Intussusception is considered the leading cause of abdominal surgical emergencies in children younger than 5 years. Ultrasonography is an optimal, non-invasive and safe diagnostic and therapeutic procedure.
The accuracy of ultrasound guided saline enema in treatment of intussusception is high, but delay in presentation lead to lower success rate in intussusception reduction.
The use of delayed repeated enema reduction attempts after failed initial enema help to decrease number of laparotomies and complications of surgical treatments.
prove thatOur study
Delayed repeated enema in treatment of intussusception is the treatment of choice in patients with unsuccessful initial enema reduction provided that early presentation, stable vitals and no signs of perforation or peritonitis. Patients with symptoms less than 24 hours has the highest chance of successful reduction.
Patients presented with severe manifestations has low success rate.
Delayed repeated enema proven to be very safe method for intussusception treatment for cases presenting early, there were no deaths, bowel perforations nor intestinal resection.
Patients who needed surgical intervention, use of contrast enema prior to laparotomy help to decrease size of mass, laparotomy incision, manipulation and even spontaneous reduction found in some cases on laparotomy.
There is no specific no of trials for delayed repeated enema in treatment of intussusception as long as patient is vitally stable and has no signs of peritonitis or perforation.
Limitations of the study
Small no of study sample.