The management of intussusception

Paes, Rabi; Hyde, I.; Griffiths, D.M.

doi:10.1259/0007-1285-61-723-187

Cited by 14 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Buscopan has been used customarily as an antispasmodic agent, to irrigate the colon smoothly with contrast media 79,83 (level 4); however, there are no controlled studies evaluating its effectiveness. The use of Buscopan is left to the clinician's preference at present.…”

Section: Treatmentmentioning

confidence: 99%

Japanese guidelines for the management of intussusception in children, 2011

Ito

Kusakawa

Murata

et al. 2012

Pediatrics International

View full text Add to dashboard Cite

Background: The Japanese Society of Emergency Pediatrics has formulated evidence-based guidelines for the management of intussusception in children in order to diagnose intussusceptions promptly, to initiate appropriate treatment as early as possible, and to protect intussuscepted children from death. Methods: Literature was collected systematically via the Internet using the key words "intussusception" and "children."The evidence level of each paper was rated in accordance with the levels of evidence of the Oxford Center for Evidence-based Medicine. The guidelines consisted of 50 clinical questions and the answers. Grades of recommendation were added to the procedures recommended on the basis of the strength of evidence levels. Results: Three criteria of "diagnostic criteria," "severity assessment criteria," and "criteria for patient transfer" were proposed aiming at an early diagnosis, selection of appropriate treatment, and patient transfer for referral to a tertiary hospital in severe cases. Barium is no longer recommended for enema reduction (recommendation D) because the patient becomes severely ill once perforation occurs. Use of other contrast media, such as water-soluble iodinated contrast, normal saline, or air, is recommended under either fluoroscopic or sonographic guidance. Delayed repeat enema improves reduction success rate, and is recommended if the initial enema partially reduced the intussusception and if the patient condition is stable. Conclusions:The guidelines offer standards of management, but it is not necessarily the purpose of the guidelines to regulate clinical practices. One should judge each individual clinical situation in accordance with experiences, available devices, and the patient's condition.

show abstract

Section: Treatmentmentioning

confidence: 99%

Japanese guidelines for the management of intussusception in children, 2011

Ito

Kusakawa

Murata

et al. 2012

Pediatrics International

View full text Add to dashboard Cite

show abstract

Ischemic Stricture and Perforation

Valente

Rappaport²,

Crowe

1992

Arch Surg

View full text Add to dashboard Cite

Intussusception is a common cause of intestinal obstruction in infants. Use of a barium enema affords both diagnostic confirmation and a chance for nonsurgical reduction of the intussusception. While failed hydrostatic reduction is an indication for surgical intervention, delayed complications of hydrostatic reduction have not been described. We present a case of ischemic stricture and perforation developing after the successful reduction of an intussusception.

show abstract

Paediatric intussusception

Stringer¹,

Pablot

Brereton³

1992

Journal of British Surgery

234

194

View full text Add to dashboard Cite

Intussusception is one of the commonest causes of intestinal obstruction in infants and accounts for about 700 hospital admissions each year in England and Wales. Improved results of treatment have followed recent technological developments, which include ultrasonographic imaging and pneumatic reduction techniques. Most intussusceptions can be reduced successfully without the need for operation but close cooperation between surgeon and radiologist is essential. Mortality and morbidity rates from the condition have progressively declined in recent decades but avoidable deaths still occur.

show abstract

The management of intussusception

Cited by 14 publications

References 11 publications

Japanese guidelines for the management of intussusception in children, 2011

Japanese guidelines for the management of intussusception in children, 2011

Ischemic Stricture and Perforation

Paediatric intussusception

Contact Info

Product

Resources

About