Recurrent Acute Intussusception in Children

Soper, Robert T.

doi:10.1001/archsurg.1964.01320010190020

Cited by 29 publications

(30 citation statements)

References 28 publications

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“…The total incidence of recurrent intussusception in the present study of 278 children treated by three different procedures was 4%, which was comparable to that documented [6][7][8][9]. It was suggested that ileopexy and segmental resection could reduce the recurrence, but their effectiveness was not well evaluated.…”

Section: Discussionsupporting

confidence: 47%

“…Successful reduction can often be achieved with barium, saline, or gas enemas [3], but 10-30% of patients require surgical correction [4,5]. The documented incidence of recurrence after surgical correction of idiopathic intussuception in children varied between 0 and 5.4% [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

“…The procedures that had been proposed to reduce the risk of recurrence include resection of the involved segment and fixation of the terminal ileum to the peritoneum or cecum [7,10,11]. In 1980, Burrington recommended ileopexy for this purpose.…”

Section: Introductionmentioning

confidence: 99%

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Recurrent ileocolic intussusception after different surgical procedures in children

et al. 2006

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Intussusception in children may recur after surgical correction. Ileopexy has popularly been used as a procedure to prevent recurrent intussusception, but its effect has not been well evaluated. The present study compared the incidence of recurrent intussusception after several different surgical procedures for intussusception in children. The charts of 278 children undergoing surgical reduction of ileocolic intussusception over 17 years were retrospectively reviewed. The incidence of recurrent intussusception was compared among the three surgical procedures: simple manual reduction, manual reduction plus ileopexy, and segmental resection. Simple manual reduction was performed in 67 (24.1%) of the 278 patients, manual reduction plus ileopexy in 186 (66.9%), and resection of the involved segment in 25 (9.0%). There were four episodes of recurrence in three (4%) patients who had had manual reduction, nine episodes in eight (4%) patients who had undergone ileopexy, and none after segmental resection. There was no statistical difference in recurrent rate among the three groups (reduction vs. ileopexy, P = 0.95; reduction vs. resection, P = 0.28; ileopexy vs. resection, P = 0.29). Ileopexy is not better than simple manual reduction in preventing recurrence of ileocolic intussusception in children.

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Section: Discussionsupporting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

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Recurrent ileocolic intussusception after different surgical procedures in children

et al. 2006

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“…However, the etiology of most recurrent intussusceptions is unknown, and there is no predisposing factor to predict whether the intussusception will recur or not [3,11]. Unnecessary calls may be made by anxious parents when some intercurrent illness mimics the condition.…”

Section: Discussionmentioning

confidence: 99%

“…Third, the cecum, the stump of appendix, and the terminal ileum were sutured to the lateral peritoneum (ileocolonic pixie) with silk or 3-0 polydioxanone using the technique of intracorporeal knot tying (Fig. 1) [9,11]. Finally, the umbilical incision was sutured.…”

Section: Operative Techniquementioning

confidence: 99%

Early laparoscopy for ileocolic intussusception with multiple recurrences in children

et al. 2008

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The authors suggest that early intervention should be undertaken for ileocolic intussusception with multiple recurrences in children after the last nonsurgical reduction has been attempted successfully. Under this strategy, laparoscopy is an acceptable approach. It allows differentiation of a specific etiologic lesion, the possibility of incomplete reduction, and additional proximal invaginations. Later complications, such as repeat recurrence and associated surgical morbidity, also can be avoided.

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