What is the treatment for intussusception?

• A. Surgery
• B. Air enema
• C. Sigmoidoscopic detorsion
• D. Gastrografin enema

Answer: (B)

Intussusception is a condition where a segment of the intestine telescopes into an adjacent segment, which can lead to obstruction and ischaemia. Treatment for intussusception primarily focuses on the immediate resolution of the obstruction and restoration of proper bowel function.

An air enema is often used as a non-surgical treatment for intussusception, especially in pediatric patients. This procedure utilizes air to create pressure that can help unfold the telescoped part of the bowel, thereby reducing the intussusception. In many cases, this can be performed safely and effectively, avoiding the need for surgical intervention. The success of this method is significant; studies have shown that it can be very effective in resolving the condition and is preferred due to its less invasive nature.

Other treatments, such as surgery, may be considered if non-invasive methods, like the air enema, are unsuccessful or if there are complications such as bowel necrosis. However, the initial approach often leans towards less invasive options where feasible, particularly in children.