Success Rate of Air Enema Reduction Under Fluoroscopy Guidance

Air enema reduction under fluoroscopy guidance is the method of choice in treating paediatric intussusception in KK Women’s and Children’s Hospital (KKH). An air enema reduction is considered successful if the intussusception mass resolves and air is seen refluxing into the small bowel loops.

The Department of Diagnostic and Interventional Imaging (DDII) in KKH has been capturing success rates of fluoroscopy-guided air enema reduction of intussusception as a department Key Performance Indicator.

Success rates of air enema reduction under fluoroscopy guidance in KKH DDII are high when compared to internationally published success rates of 66% – 96%1-6.

References

Sun, Z., Song, G., Lian, D., Zhang, Q., & Dong, L. (2022). Process Management of Intussusception in Children: A Retrospective Analysis in China. Pediatric emergency care, 38(7), 321–325.
Kim, H. W., Jeon, T. Y., Kim, K., Yoo, S. Y., Choe, Y. H., Lee, S., Seo, J. M., Kim, J. H., & Moon, S. H. (2022). Fluoroscopic criteria for on-site evaluation of failed intussusception reduction during air enema technique. Quantitative imaging in medicine and surgery, 12(7), 3738–3747.
Younes, A., Lee, S., Lee, J. I., Seo, J. M., & Jung, S. M. (2021). Factors Associated with Failure of Pneumatic Reduction in Children with Ileocolic Intussusception. Children (Basel, Switzerland), 8(2), 136.
Ondhia, M. N., Al-Mutawa, Y., Harave, S., & Losty, P. D. (2020). Intussusception: A 14-year experience at a UK tertiary referral centre. Journal of pediatric surgery, 55(8), 1570–1573.
Xie, X., Wu, Y., Wang, Q., Zhao, Y., Chen, G., & Xiang, B. (2018). A randomized trial of pneumatic reduction versus hydrostatic reduction for intussusception in pediatric patients. Journal of pediatric surgery, 53(8), 1464–1468.
Kritsaneepaiboon, S., Sangkhathat, S., Kanngurn, S. (2011). Pneumatic reduction of intussusception: factors affecting outcome in Thailand. Asian Biomedicine, 5(2), 235-241.