The nonoperative treatment of intussusception has been frowned on by the American surgeon. American literature has condemned any attempt at reduction of an intussusception by injection of gas or enema on the ground of the dangers attending such an unscientific procedure. This point of view undoubtedly is correct. I believe, however, that if proper technic is used, this treatment will be found successful at times. Koch and Oerm have reported 400 Danish cases of intussusception in which treatment was by enema. They have made a statistical study of these cases, comparing them with those in which treatment was surgical. The figures presented give a lower mortality with the nonsurgical than with the surgical treatment. I believe that by observing improved technic and by selecting cases carefully the dangers of nonsurgical treatment can be practically eliminated.
The injection of gas into the bowel in the hope of relieving an intussusception is
RETAN GM. NONOPERATIVE TREATMENT OF INTUSSUSCEPTION. Am J Dis Child. 1927;33(5):765–770. doi:10.1001/archpedi.1927.04130170063009
Customize your JAMA Network experience by selecting one or more topics from the list below.