PEDIATRICS Vol. 79 No. 3 March 1987, pp. 432-434
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Analgesic Premedication in the Management of Ileocolic Intussusception

ROBERT J. TOULOUKIAN MD1, JOSEPH B. O'CONNELL MD1, RICHARD I. MARKOWITZ MD1, NANCY ROSENFIELD MD1, JOHN H. SEASHORE MD1, and RONALD C. ABLOW MD1

1 Sections of Pediatric Surgery and Pediatric Radiology, Yale University School of Medicine, Yale-New Haven Hospital, New Haven, CT

Hydrostatic reduction of ileocolic intussusception by barium enema is uniformly regarded as optimal management, with surgical treatment reserved for occasions when this is not successful and for other selected circumstances.1 In an attempt to maximize the success rate of hydrostatic reduction, we examined the effect of analgesic premedication on both the outcome for the barium study and the operative findings.

MATERIALS AND METHODS

The case records and radiographs of 76 children with ileocolic intussusception treated at the Yale-New Haven Hospital between Jan 1, 1974, and Dec 31, 1984, were reviewed for patient age, sex, seasonal incidence, presenting signs and symptoms, and results of hydrostatic reduction, as well as surgical treatment with operative findings, morbidity, and mortality.

Submitted on April 7, 1986
Accepted on June 10, 1986




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