''Intussusception”: Changing Trends in Management

Background: In most children there is no abnormality present, and the cause of intussusception is unknown. We tried to find out the answer to question: Does surgery needed in all cases of intussusception? Aims and Objectives: In this study, the aim was to observe the results of the conservative management of 3 cases of intussusception admitted in Medeor Hospital, (formerly known as Rockland Hospital), Delhi, North India.  The objective was to minimize the need for surgery for intussusception. Methods: For the present study, the demographic information, history, physical examination, investigations & management of 3 children suffering from intussusception & admitted at Pediatrics Department in Medeor hospital during the period from 01 January 2012 to 07 August 2014 were recorded & evaluated. Results: In this study, the results showed that two cases of intussusception were associated with acute gastroenteritis & one case of intussusception was associated with acute dysentery.  All the 3 cases of intussusception were managed with intravenous (IV) fluids, IV antibiotics and other supportive treatment.  In comparison to previous study in all the 3 children, the intussusception was completely resolved by conservative management. The two-tailed P value equals 0.0143*, in Chi-square test. By conventional criteria, this difference was considered to be statistically significant. Conclusion: In this study, it is concluded that in all the 3 children, the intussusception was completely resolved by conservative management, hence no active intervention or surgery was required in these cases. On follow up, there was no recurrence of intussusception in these 3 cases.