The clinical implications of non-idiopathic intussusception

Blakelock, R. T.; Beasley, S. W.

doi:10.1007/s003830050689

Cited by 18 publications

(36 citation statements)

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“…The reason may be that female had a longer duration of history. Recent analyses of childhood intussusception in western countries [13,16,17] have found that the peak age was between 4 and 9 months; the male:female ratio was around 2:1 and PLPs were found in 2.6-15 % of cases, which is essentially consistent with our findings. Our result that the age of pediatric intussusception patients with loss of intestine viability was not significant is in accordance with one earlier study showing that intussusception-associated complications occurred irrespective of patient age [18].…”

Section: Discussionsupporting

confidence: 95%

Risk factors for pediatric intussusception complicated by loss of intestine viability in China from June 2009 to May 2014: a retrospective study

et al. 2014

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Section: Discussionsupporting

confidence: 95%

Risk factors for pediatric intussusception complicated by loss of intestine viability in China from June 2009 to May 2014: a retrospective study

et al. 2014

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“…The majority of the cases were found idiopathic, the incidents of intussusception presenting a pathologic lead point accounts for 6 % of the cases [1]. Ultrasonography has been widely adopted to screen and diagnose Intussusception is more likely to recur after nonoperational reduction [3].…”

Section: Introductionmentioning

confidence: 99%

Intussusception patients older than 1 year tend to have early recurrence after pneumatic enema reduction

Wang

Zhang

et al. 2015

Pediatr Surg Int

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“…The incidence of pathologic lead points as a cause for intussusception ranges from 1.5 to 12% [10]. In surgical cases in this study, pathologic lead points were identified in 10.2% during period A and 33.3% during period B.…”

Section: Discussionmentioning

confidence: 99%

Reduction of intussusception in infants by a pediatric surgical team: improvement in safety and outcome

et al. 2006

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Commonly, reduction of intussusception is performed by experienced radiologists. We review the performance of a pediatric surgical team for treating intussusception according to a standard protocol and present our findings. Three hundred and seventy eight patients with signs and symptoms of intussusception we treated from 1980 to 2005 were reviewed. Hydrostatic reduction (HR) was performed using a water-soluble contrast agent under fluoroscopy unless there was a serious condition clinically. Before 1998, HR was performed exclusively by pediatric surgical trainees (period A). In 1998, a standard protocol (double-balloon tube, maximum pressure of 120 cm H2O, repeated a maximum of five times, and HR performed by a pediatric surgical trainee under the supervision of a consultant pediatric surgeon) was adopted (period B). As part of the protocol, the operating room was notified of the HR procedure and placed on call for emergency surgery. Of the 378 patients, 21 required immediate laparotomy due to serious general condition, leaving 138 during period A and 219 during period B who had HR. Patient age, sex, and duration of symptoms (period A, 14.5 +/- 7.8 h; period B, 13.1 +/- 9.9 h) were not statistically significant. Success of HR during period A was 64.5%, and significantly improved for period B at 94.5% (P < 0.01). During period B, 128 of our patients had been referred from elsewhere for failed reduction attempted by radiologists or pediatricians. We were able to perform HR successfully in 118 of these (92.2%). During period A, it was significantly less at 54.0% (P < 0.01). Bowel perforation during HR occurred in two patients during period A (1.4%) and two patients during period B (0.9%), but the latter cases were transferred immediately for emergency surgery with good outcome. Reduction of intussusception by a pediatric surgical team would appear to be significantly safer with better outcome, and is thus more efficient.

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The clinical implications of non-idiopathic intussusception

Cited by 18 publications

References 0 publications

Risk factors for pediatric intussusception complicated by loss of intestine viability in China from June 2009 to May 2014: a retrospective study

Risk factors for pediatric intussusception complicated by loss of intestine viability in China from June 2009 to May 2014: a retrospective study

Intussusception patients older than 1 year tend to have early recurrence after pneumatic enema reduction

Reduction of intussusception in infants by a pediatric surgical team: improvement in safety and outcome

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