Intussusception in children: International perspective

Donald E. Meier, C. Dale Coln, Frederick J. Rescorla, Akintayo Olaolorun, John L. Tarpley

Research output: Contribution to journalArticle

47 Scopus citations


Fifty consecutive cases of children with intussusception treated at a hospital in a developing country were compared with 50 consecutive cases treated at an American inner city children's hospital and 50 consecutive cases treated at an American referral children's hospital. The plan was to recommend ways of improving the treatment of children with intussusception in the developing world. Nonoperative reduction was attempted in the two American hospitals but was not available in the developing world hospital where all children were treated operatively. Children in the developing world hospital had a significantly longer duration of symptoms, an increased incidence of nonviable bowel, and a mortality of 18%. There were no deaths in either American hospital. The poorer outcome for developing world children was related to delay in treatment, the higher incidence of nonviable bowel, and the lack of adequate nursing care for acutely ill children. The use of nonoperative reduction would not have significantly improved the mortality rate among the developing world children. The mortality can best be reduced by: (1) earlier recognition and treatment of the intussusception; and (23) improvement in the postanesthetic care with better monitoring leading to prompt recognition and treatment of postoperative complications.

Original languageEnglish (US)
Pages (from-to)1035-1040
Number of pages6
JournalWorld Journal of Surgery
Issue number8
StatePublished - Oct 7 1996

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Intussusception in children: International perspective'. Together they form a unique fingerprint.

  • Cite this

    Meier, D. E., Dale Coln, C., Rescorla, F. J., Olaolorun, A., & Tarpley, J. L. (1996). Intussusception in children: International perspective. World Journal of Surgery, 20(8), 1035-1040.