Ultrasonographic and clinical predictors of intussusception

Harrington, Laura B.; Connolly, Bairbre; Hu, Xue; Wesson, David E.; Babyn, Paul; Schuh, Suzanne

doi:10.1016/s0022-3476(98)70314-2

Cited by 117 publications

(56 citation statements)

References 13 publications

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“…1,[6][7][8][9][10] A number of epidemiological and clinical factors associated with intussusception have been cited in the literature and include age younger than 12 months, male sex, vomiting, abdominal pain, abdominal mass, rectal bleeding, and lethargy. 2,3,7,8,[11][12][13] The 4 symptoms and signs classically described in patients with intussusception (vomiting, abdominal pain, abdominal mass, and bloody stool), however, are present together in fewer than one half of patients with the disease. 3,11 The diagnosis of intussusception is made by air or liquid contrast enema, 1,4,5,[14][15][16][17] or by ultrasound examination.…”

Section: Discussionmentioning

confidence: 99%

“…3,11 The diagnosis of intussusception is made by air or liquid contrast enema, 1,4,5,[14][15][16][17] or by ultrasound examination. 13,[18][19][20][21][22][23] Contrast enema is considered the criterion standard for diagnosis; however, this procedure is more time-consuming and invasive than diagnostic ultrasound, and requires the use of ionizing radiation. The identification of reliable predictors of intussusception may help in clinical decision making regarding the use of diagnostic ultrasound and air or liquid contrast enema in the evaluation of possible intussusception.…”

Section: Discussionmentioning

confidence: 99%

“…8,[11][12][13] Intussusception also occurred, however, in 24% of patients without a history or examination evidence of rectal bleeding. We also found male sex to be an independent predictor of intussusception.…”

Section: Commentmentioning

confidence: 99%

“…2,24,26,36,39,40 In a recent prospective study of clinical predictors of intussusception, the authors identified right upper quadrant abdominal mass, rectal bleeding and the triad of intermittent abdominal pain, vomiting, and right upper quadrant abdominal mass as significantly predictive of intussusception. 13 Negative predictors were also identified, but none with sufficient accuracy to obviate evaluation with ultrasound or air or contrast enema. Plain abdominal radiography was not evaluated in that study, and the predictive model was not validated.…”

Section: Commentmentioning

confidence: 99%

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Predictors of Intussusception in Young Children

Kuppermann¹,

O'Dea²,

Pinckney³

et al. 2000

Arch Pediatr Adolesc Med

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Objective: To identify predictors of intussusception in young children.Design: A retrospective cross-sectional study. Setting and Patients:A consecutive sample of children younger than 5 years on whom contrast enemas were performed because of suspected intussusception seen at an urban children's hospital from 1990 to 1995. Methods:We evaluated historical, clinical, and radiographic variables. Variables documented in 75% or more of the medical records and associated with intussusception (PՅ.20) in the univariate analysis were evaluated in a multiple logistic regression analysis. Variables retaining significance (PՅ.05) in the multivariate analysis were considered independent predictors of intussusception. We used bootstrap resampling techniques to validate the multivariate model.Results: Sixty-eight (59%) of the 115 patients had intussusception. Univariate predictors of intussusception included male sex, age younger than 2 years, history of emesis, rectal bleeding, lethargy, abdominal mass, and a highly suggestive abdominal radiograph. In the multivariate analysis, we identified only 4 independent predictors (adjusted odds ratio; 95% confidence interval): a highly suggestive abdominal radiograph (18.3; 4.0-83.1), rectal bleeding (17.3; 2.9-104.0), male sex (6.2; 1.2-32.3), and a history of emesis (13.4; 1.4-126.0). We identified 3 of these 4 variables (all but emesis) as independent predictors in more than 50% of 1000 bootstrap data samples.Conclusions: Rectal bleeding, a highly suggestive abdominal radiograph, and male sex are variables independently associated with intussusception in a cohort of children suspected of having this diagnosis. Knowledge of these variables may assist in clinical decision making regarding diagnostic and therapeutic interventions.Arch Pediatr Adolesc Med. 2000;154:250-255

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

See 2 more Smart Citations

Predictors of Intussusception in Young Children

Kuppermann¹,

O'Dea²,

Pinckney³

et al. 2000

Arch Pediatr Adolesc Med

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“…Ultrasound is an easily available, inexpensive and noninvasive investigationthat is not only helpful in diagnosis of intussusception but also is useful in ultrasound guided barium enema reduction. Other pathology causing intestinal obstruction may also be seen on ultrasound 16 .…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis, Management and Outcome of Intussusception in Children

Thapa

Chaudhary

Pun

et al. 2012

J. Nepal Paedtr. Soc.

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Introduction: Intussusception is the commonest cause of bowel obstruction in infancy and childhood. Early diagnosis and management is essential to reduce morbidity and mortality. The objective was to To review the diagnostic criteria of intussusception in infants and children to increase awareness of attending personnel for effective management decrease the rate of operative treatment and complications. Materials and Methods: The data collected of all 38 patients admitted in Kanti Childrens Hospital between 2008 September to 2009 September were studied prospectively. Each patient was evaluated in regard to age at presentation, sex, signs and symptoms, diagnostic method, treatment (operative, non-operative). Results: During study period of one year there were a total of 20 (52%) males and 18 (48%) females of age 3 months to 6 years. Pain abdomen was seen in 25(66%), vomiting 16(42%), diarrhea 15(40%), blood mixed with stool 10(26%). These symptoms were seen in different combination. X-ray erect abdomen was done in 15 and ultrasound in all 38 cases. Ten out of 15 (66.6%) patients with early presentation and diagnosis had successful barium enema reduction.10 (66.6%) had successful reduction and admitted to our hospital. 28(74%) patients were undergone laparatomy. Among 28 (74%) patents that had lapartotomy, manual reduction was successful in 18 and 10 required bowel resection and anastomosis. Conclusion: The awareness of early features of intussusception is important for early referral to tertiary centers for successful non-operative barium reduction and reduce the need of laparotomies in children.

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Percutaneous Ultrasound

MBChB

Pddr

2012

Textbook of Clinical Gastroenterology and Hepatology

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Ultrasonographic and clinical predictors of intussusception

Cited by 117 publications

References 13 publications

Predictors of Intussusception in Young Children

Predictors of Intussusception in Young Children

Clinical Analysis, Management and Outcome of Intussusception in Children

Percutaneous Ultrasound

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