Open transumbilical intussusception reduction in children: A prospective study

Li, Ning; Bao, Qiao; Yuan, Jianming; Zhou, Xuefeng; Feng, Jiexiong; Wen, Zhang

doi:10.1016/j.jpedsurg.2020.07.008

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…[ 1 ] In China, according to some scholars reported, the cost of curing intussusception was about 1213.50–1857.61 US dollars. [ 2 ] Color Doppler ultrasound is the primary choice for diagnosing intussusception. The success rate of air enema or water enema under color Doppler ultrasound monitoring to reset intussusception is over 90%, but some children are at risk of recurrence.…”

Section: Introductionmentioning

confidence: 99%

Significance of MCP-1 in predicting the short-term recurrence of primary intussusception in children: An observational study

Zhu¹,

Xu²,

Zhang³

et al. 2022

Medicine

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To evaluate the relationship between the expression level of (MCP-1) in peripheral blood and the short-term recurrence of primary intussusception in children, a retrospective analysis of children with primary intussusception under ultrasound-guided hydrostatic reduction in our hospital from June 2019 to June 2021, a total of 412 cases, 37 cases of short-term recurrence. Enzyme-linked immunosorbent assay was used to detect the expression of MCP-1 in peripheral venous blood; receiver operating curve (ROC) was utilized to evaluate the diagnostic efficacy of MCP-1 in predicting short-term recurrence; logistic regression analysis of risk factors for recurrence. MCP-1 increased in the peripheral blood of children with short-term recurrence (P < .05). Logistic regression analysis found that increased MCP-1 was a risk factor for recurrence; ROC showed that 23.24 ng/mL was used as a cut-off value. The sensitivity of MCP-1 for predicting the recurrence of intussusception in children is 82.14%, and the specificity is 75.67%. In primary intussusception, the expression of MCP-1 in the peripheral blood of children with short-term recurrence is raised. Elevated expression of MCP-1 is a risk factor for predicting short-term intussusception recurrence and has certain clinical significance.

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Section: Introductionmentioning

confidence: 99%

Significance of MCP-1 in predicting the short-term recurrence of primary intussusception in children: An observational study

Zhu¹,

Xu²,

Zhang³

et al. 2022

Medicine

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“…An underlying pathological lead point should often be investigated in SBIs While laparotomy was the previously preferred surgical treatment for SBI, in recent years, laparoscopy has been used for diagnostic and therapeutic purposes 19,20 . Apelt et al 21 reviewed the literature on 276 patients in their assessment of the efficiency of laparoscopy in pediatric intussusception and reported successful treatment of 196 (71%) patients.…”

Section: Discussionmentioning

confidence: 99%

Surgically proven small bowel intussusception in children: Analysis of 36 cases

et al. 2022

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Background: Intussusception is one of the most common abdominal emergencies in children. While the majority of childhood intussusceptions are ilecolic and idiopathic, small bowel intussusceptions are rare and a pathological trigger is often blamed for the etiology. Ultrasonography is the most commonly used diagnostic tool in the diagnosis of intussusception. Objectives: To determine auxiliary diagnostic criteria for ultrasonography in the differentiation of small bowel intussusceptions based on ultrasonography, reduction and surgical findings of surgically confirmed small bowel intussusceptions and to contribute to the diagnosis and treatment algorithm of small bowel intussusceptions based on our clinical experience. Methods: The records of patients who underwent surgery for small bowel intussusception at the Faculty of Medicine, Department of Pediatric Surgery between January 2008 and December 2020 were retrospectively reviewed. Demographic characteristics, ultrasonographic findings, onset and duration of symptoms, treatment method, intraoperative findings and histopathological results of the patients were recorded. Results: Thirty-six pediatric patients with small bowel intussusception were operated. The average age of these patients was 59 ± 49.7 months and %78 was male. The location of the small bowel intussusception detected by ultrasound scan was the paraumbilical area and left quadrant in 19 (53%) patients and the right quadrant in 15 (42%) patients. In ultrasonography, the mean diameter of the invaginated segment was 3 (1.2-6.5) cm and the mean length was 6.7 (3-15) cm. Pathological lead points were detected in the etiology of nineteen (53%) patients. Thirteen (36%) patients underwent segmental resection and anastomosis due to necrosis. Conclusions: Small bowel intussusceptions are often localized in the paraumbilical and left upper quadrant. However, it should be kept in mind that it may be localized in the right lower quadrant like ileocolic invaginations. Enema reduction can be used as an adjunctive diagnostic method to exclude ileocolic invaginations rather than treatment in these patients. The diameter and length of the invaginated segment may be decisive in the surgical decision of the small bowel intussusception.

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“…Eight studies reported operative time and seven studies were suitable for meta-analysis. [4][5][6][7][8][9][10] Meta-analysis demonstrated no statistically significant difference between the two groups with obvious statistical heterogeneity (I 2 ¼ 79%, WMD ¼ 6.13, 95% CI: À 7.74 to 20.0; p ¼ 0.39; ►Fig. 3).…”

Section: Operative Timementioning

confidence: 94%

“…Ten studies reported operative age while only six studies were suitable for meta-analysis. [4][5][6][7][8][9] Meta-analysis demonstrated no statistically significant difference between the two groups (weighted mean difference [WMD] ¼ 0.43, 95% confidence interval [CI]: À 1.83 to 2.69; p ¼ 0.71; ►Fig. 2).…”

Section: Operative Agementioning

confidence: 99%

“…Length of hospital stay was reported in all included studies and eight studies were suitable for meta-analysis. 4,5,[7][8][9][10][11]13 Meta-analysis revealed a statistically significant decrease in length of hospital stay for LR compared with OR, while the statistical heterogeneity was evident (I 2 ¼ 77%, WMD ¼ À 1.45, 95% CI: À 2.35 to À 0.56; p ¼ 0.002; ►Fig. 6).…”

Section: Length Of Hospital Staymentioning

confidence: 99%

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Laparoscopic versus Open Reduction of Intussusception in Infants and Children: A Systematic Review and Meta-analysis

Huang

et al. 2022

Eur J Pediatr Surg

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We conducted a systematic review and meta-analysis to compare the efficacy and safety between laparoscopic reduction (LR) and open reduction (OR) of intussusception in infants and children. Literature searches were conducted to identify studies having compared LR and OR for children with intussusception failed to enema reduction. Parameters such as operative time, time to oral intake, length of hospital stay, overall postoperative complications, and recurrence were pooled and compared by meta-analysis. Among the 502 pediatric participants included in the 11 studies, 275 had received LR and 227 received OR. There were shorter length of hospital stays and time to oral intake with the LR approach compared with OR. However, no significant difference was found between LR and OR in the secondary outcome, such as the overall postoperative complications and recurrence. LR is a feasible, safe, and effective surgical procedure alternative to OR for pediatric intussusception. Compared with OR, LR has the advantage of shorter hospital stay and faster time to oral intake. Besides, the overall postoperative complications may be slightly lower in LR. We conclude that LR should be considered an acceptable option for children.

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Open transumbilical intussusception reduction in children: A prospective study

Cited by 5 publications

References 6 publications

Significance of MCP-1 in predicting the short-term recurrence of primary intussusception in children: An observational study

Significance of MCP-1 in predicting the short-term recurrence of primary intussusception in children: An observational study

Surgically proven small bowel intussusception in children: Analysis of 36 cases

Laparoscopic versus Open Reduction of Intussusception in Infants and Children: A Systematic Review and Meta-analysis

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