Introduction: Intussusception is one of the major causes of intestinal obstruction in children and infants. The change in treatment needed for intussusception from surgical management is primarily minimal with air or contrast enema. It has been shown that pneumatic reduction works to reduce the duration of hospitalization, and leads to a reduction in the recovery period, and works to reduce the risks that may result from complications associated with abdominal surgeries, in addition to that it reduces the cost required for the hospital.

Patients and methods: Between May 2013 to November 2015, a the study was performed on patients with unknown intussusceptions presented at Al-Hussein Medical City Department of Surgery. diagnosis was made depending on clinical presentation and or ultrasound. Cases were excluded those with the appearance of peritonitis, x-ray findings of bowel performations, features of shock and those with secondary cause of intussusceptions. 18F Foley catheter was inserted through the rectum and attached to the buttocks, and a Foley catheter was connected to a sphygmomanometer. The air was gradually aspirated through fluoroscopy guidance and the controlled pressure did not exceed 120 mm Hg, and the air reduction was considered complete with control of air entry into the ileum.

Result: Pneumatic reduction was performed on 68 patients, and this application was successful with 60 patients, with an overall success rate of approximately 88%. 7 of above 60 cases, a second pneumatic trail were needed till full reduction because of good but in 1^st-trial is better. 3 of 60 successful cases a recurrent intussusceptions occurred on different occasions were reduced by pneumatic enema. 8 patients had failed pneumatic enema and underwent surgery, 4 after 1^st trail failure others 4 after 2^nd trail failure because of progression failure of reduction. Surgically reduced cases had healthy bowel no resection were performed. Through the examination, no complications or perforations were seen in the intestine by attempts at pneumatic reduction.

Discussion: Although pneumatic reduction has become widely acceptable, it is not yet the norm in Iraq. For this reason I decided to use equipments readily available in the hospital (sphygmomanometer and fluoroscopy). The results appeared negative range of pneumatic reduction, its near about 88%. early presentation less than 24 hours and proximal site intussusceptions, the higher success rate. delayed repeated reduction attempts facilitating the subsequent reduction attempt and increase success rate. In our study there is no perforations were appear.

Conclusion: Pneumatic reduction is the treatment a of choice for intussusceptions unless absolute contraindications. The pneumatic reduction method is effective and at the same time safe and can be performed easily in all hospitals.