Conservative treatment of small bowel obstruction caused by round worms in children by using kleen enema

Objectives: to determine the effectiveness of kleen enema in relieving intestinal obstruction caused by ascaris lumbricoides in children. material and methods: this retrospective study was performed in pediatric surgery department of khyber teaching hospital from october 2011 to september 2013. a total number of 33 patients were admitted. patients were treated with intravenous fluids,intravenous antibiotics,nasogastric suction and with kleen enema,given per rectally. those patients in which obstruction was not relieved within 72 hours,were then operated. results: in 28 patients (84.8%) out of 33 intestinal obstruction was relieved by using kleen enema. 5 patients (15%) required laprotomy. out of 33 patient 19 (57.57%) were males and 14 (42.4%) were females. conclusion: kleen enema was very effective in relieving intestinal obstruction. the advantage of using kleen enema is its ready availability as compared to the other enemas used in such cases. � 2016,khyber medical college. all rights reserved.