Management of intussusception in children: A systematic review

Kelley-Quon, Lorraine I.; Arthur, L. Grier; Williams, Regan F.; Goldin, Adam B.; Peter, Shawn D. St.; Beres, Alana L.; Hu, Yue; Renaud, Elizabeth; Ricca, Robert L.; Slidell, Mark B.; Taylor, Adam Michael; Smith, Caitlin; Miniati, Douglas N.; Sola, Juan E.; Valusek, Patricia A.; Berman, Loren; Raval, Mehul V.; Gosain, Ankush; Dellinger, Matthew; Sømme, Stig; Downard, Cynthia D.; McAteer, Jarod P.; Kawaguchi, Akemi L.

doi:10.1016/j.jpedsurg.2020.09.055

Cited by 68 publications

(57 citation statements)

References 59 publications

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“…Once diagnosed, a prompt reduction of the intussusception should be performed due to the possible risk of bowel ischemia and necrosis, bowel perforation and peritonitis ( 7 ). A non-surgical reduction through pneumatic or hydrostatic enema is suggested as first line approach in the pediatric age, with a success rate close to 90% ( 8 ). Nearly 90% of intussusceptions are considered idiopathic, mainly linked to findings of lymphoid hyperplasia of the small intestine directly promoting the invagination ( 1 ).…”

Section: Discussionmentioning

confidence: 99%

Intussusception in an Infant With SARS-CoV-2 Infection: A Case Report and a Review of the Literature

et al. 2021

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Coronavirus disease 2019 (COVID-19) is caused by acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Even if predominantly considered a respiratory pathogen, it could be associated with gastrointestinal involvement, generally in mild forms. Recent reports highlight the association between SARS-CoV-2 and intussusception in infants. A case of intussusception is hereby described in a previously healthy infant in whom the diagnosis of SARS-CoV-2 was made after the analysis of bronchoalveolar lavage and intraoperative specimens following surgical procedures. Accordingly, a review of infant cases with intussusception and SARS-CoV-2 infection is also reported.

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Section: Discussionmentioning

confidence: 99%

Intussusception in an Infant With SARS-CoV-2 Infection: A Case Report and a Review of the Literature

et al. 2021

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“…Ileocolic intussusception is the telescoping of the ileum into the colon and is most commonly diagnosed in pediatric patients [1] . Diagnosis of ileocolic intussusception via abdominal ultrasound is accurate [2] and its treatment by colonic pressurization under image guidance is one of the few emergency procedures performed non–interventional radiologists [3] .…”

Section: Introductionmentioning

confidence: 99%

Successful reduction of recalcitrant ileocolic intussusception with a double-balloon-tipped catheter that prevents air leaks and catheter expulsion

Jones

2021

Radiology Case Reports

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Noninvasive reduction of ileocolic intussusception requires increasing intracolonic pressure via gas or liquid administered through a rectal catheter. A tight seal around the catheter is required to maintain intracolonic pressures and this tight seal is difficult to maintain with existing techniques. I describe the safe and effective use of a catheter with 2 balloons near the tip that surround the anus internally and externally to prevent leakage of air during an enema on a toddler after failure with a single-balloon tipped catheter.

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“…Invagination is the second most common cause of acute abdomen after acute appendicitis. 1 Invagination can occur at any age, but the most common in children. 2 It is the most important cause of acute abdominal pain and congestion in infants and toddlers.…”

Section: Introductionmentioning

confidence: 99%

“…Invagination is the second most common cause of acute abdomen after acute appendicitis 1 . Invagination can occur at any age, but the most common in children 2 .…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of spontaneous reduction among the invagination cases admitted to the paediatric emergency department; retrospective study

2021

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Aims:We aimed to determine the factors that determine the conditions in cases of invagination with spontaneous reduction. Methods: Study was conducted retrospectively in the Paediatric EmergencyDepartment (PED) of the tertiary University Hospital in Ankara, Turkey. Invagination cases admitted between January 1, 2019 and December 31, 2019 were included in the study. Patient information (demographic data such as age, gender, physical examination findings, laboratory and imaging methods, treatment and follow-up) were recorded on the data form prepared by the researchers before the study, using patient files and hospital patient information system. Data were analysed with IBM SPSS V23.Results: During the study period, the number of cases who applied to the PED was 33,849 and 74 of these cases were diagnosed with invagination. In the cases diagnosed with invagination, 69 (93%) of them spontaneously reduced during the followup. Among all cases, the male sex ratio was 56.5% (39/69). The average age was 44.6 months (minimum: 6; maximum: 154). The mean follow-up time in the emergency room was 12 hours and in the hospital service was 38 hours. Vomiting was observed in 89.9% (58/69) of all cases, abdominal pain in 68.1% (44/69) and rectal bleeding in 1.4% (1/69).The invagination of 21.7% (15/69) of the patients at the first USG was ileo-ileal. 63.8% (44/69) of the patients were discharged after followed up in emergency observation. The number of USGs was lower in the group that was discharged after the follow-up in the emergency room, than the follow-up groups in the service monitoring (P = .012). Conclusion:Invagination is one of the surgical emergencies. With the widespread use of USG, most of these cases are followed up by clinical and USG follow-up in paediatric emergency services. Spontaneous reduction frequently develops in cases of intussusception with small bowel localisation and short bowel segment (less than 3 cm). How to cite this article: Fidancı İ, Derinöz Güleryüz OD, Tokgöz A. Evaluation of spontaneous reduction among the invagination cases admitted to the paediatric emergency department; retrospective study. Int J Clin Pract.

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Management of intussusception in children: A systematic review

Cited by 68 publications

References 59 publications

Intussusception in an Infant With SARS-CoV-2 Infection: A Case Report and a Review of the Literature

Intussusception in an Infant With SARS-CoV-2 Infection: A Case Report and a Review of the Literature

Successful reduction of recalcitrant ileocolic intussusception with a double-balloon-tipped catheter that prevents air leaks and catheter expulsion

Evaluation of spontaneous reduction among the invagination cases admitted to the paediatric emergency department; retrospective study

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