Changes in the Incidence of Intussusception and Infectious Diseases After the COVID-19 Pandemic in Korea

Yoo, In Hyuk; Jeong, Dae Chul

doi:10.3346/jkms.2022.37.e60

Cited by 6 publications

(8 citation statements)

References 20 publications

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“…During the COVID-19 (coronavirus disease 2019) pandemic in Korea, however, pediatricians saw a magnificent decrease in the incidence of respiratory viral infections and several infection-related diseases. 2 3 In addition, the observation, i.e., the decrease of pediatric respiratory infections, was supported in the nationwide infectious disease surveillance. 4…”

mentioning

confidence: 85%

Kawasaki Disease During COVID-19 Pandemic in Korea – Data Were Added but Are Needed More

2022

J Korean Med Sci

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mentioning

confidence: 85%

Kawasaki Disease During COVID-19 Pandemic in Korea – Data Were Added but Are Needed More

2022

J Korean Med Sci

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“…Enteric and non-enteric types of adenovirus infection had significant associations in multiple studies, being reported in approximately 30-40% of cases [16][17][18] . Yoo et al recently investigated the incidence of monthly visits for intussusception from seven hospitals in Korea in 2017-2020 19) . Interestingly, the incidence of monthly visits has substantially reduced (9.0 to 3.5) after the active implementation of the coronavirus 2019 infection control guidelines initiated in Korea.…”

Section: Epidemiology and Pathogenesismentioning

confidence: 99%

Current diagnosis and image-guided reduction for intussusception in children

et al. 2023

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Intussusception involves an invagination of the proximal bowel into the distal bowel, with ileocolic intussusception being the most common type. However, a diagnostic delay can lead to intestinal ischemia, bowel infarction, or even death; therefore, its early diagnosis and management are important. The primary role of abdominal radiography is to detect pneumoperitoneum or high-grade bowel obstruction in cases of suspected intussusception, and ultrasonography is the modality of choice for its diagnosis. Non-operative enema reduction, the treatment of choice for childhood intussusception in cases without signs of perforation or peritonitis, can be safely performed with a success rate of 82%. Enema reduction can be performed in various ways according to image guidance method (fluoroscopy or ultrasonography) and reduction medium (liquid or air). Successful enema reduction is less likely to be achieved in children with a longer symptom duration, younger age, lethargy, fever, bloody diarrhea, unfavorable radiologic findings (small bowel obstruction, trapped fluid, ascites, absence of flow in the intussusception, intussusception in the left-sided colon), and pathological lead points. This review highlights the current concepts of intussusception diagnosis, nonsurgical enema reduction, success rates, predictors of failed enema reduction, complications, and recurrence to guide general pediatricians in the management of childhood intussusception.

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“…These measures have led to unprecedented changes in behavioral patterns, as well as the occurrence of other infectious diseases [ 5 ]. For example, previous studies have shown a significant decline in the incidence of upper and lower respiratory tract infections such as seasonal influenza, and some non-infectious diseases in pediatric populations [ 5 , 6 , 7 , 8 , 9 , 10 ]. However, there are a lack of national-level data on yearly or seasonal changes in the incidence rates of gastrointestinal (GI) diseases, which are commonly encountered in clinical settings.…”

Section: Introductionmentioning

confidence: 99%

“…These lifestyle changes have also drastically reduced the incidence of other infectious diseases [ 5 ], such as GI viral infections that are transmitted through the fecal-to-oral route or direct contact between people [ 14 ]. Hence, the COVID-19 pandemic may have had a major influence on the occurrence and management of other GI diseases [ 6 ]. Since GI symptoms are also observed in patients with COVID-19 and have been associated with severe COVID-19 disease [ 15 ], healthcare providers should promptly differentiate between COVID-19 and non-COVID-19 GI diseases, keeping in mind the prevalence of GI diseases.…”

Section: Introductionmentioning

confidence: 99%

Changes in the Incidence Rates of Gastrointestinal Diseases Due to the COVID-19 Pandemic in South Korea: A Long-Term Perspective

Choi

Kang

Lim

et al. 2022

JPM

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We investigated whether the coronavirus disease 2019 (COVID-19) pandemic, in conjunction with public health measures, influenced the incidence of gastrointestinal diseases according to age and sex during the pandemic. Changes in the monthly incidence rates (January 2018 to June 2021) of common gastrointestinal diseases were assessed using data from the Korean National Health Insurance Service by comparing the data of two periods: before COVID-19 (January 2018–February 2020) and during COVID-19 (March 2020–June 2021). The Mann–Whitney U test and Levene’s test were used to compare the differences in the incidences before and during the pandemic. In the pandemic period, compared to in the pre-COVID-19 period, the incidence rates of ulcerative colitis, Crohn’s disease, cholelithiasis, and esophageal reflux significantly increased, whereas those of infective enteritis and irritable bowel syndrome decreased, regardless of age or sex. There were no significant changes in the incidence rates of pancreatitis, acute appendicitis, liver cirrhosis, and hemorrhoids. No seasonal variations in gastrointestinal disease occurrence were observed. In conclusion, the COVID-19 pandemic may have had unprecedented and long-term impacts on the epidemiology of gastrointestinal disease. These changes may indicate a substantial future burden on healthcare resources during the recovery phase of the pandemic and thereafter.

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Changes in the Incidence of Intussusception and Infectious Diseases After the COVID-19 Pandemic in Korea

Cited by 6 publications

References 20 publications

Kawasaki Disease During COVID-19 Pandemic in Korea – Data Were Added but Are Needed More

Kawasaki Disease During COVID-19 Pandemic in Korea – Data Were Added but Are Needed More

Current diagnosis and image-guided reduction for intussusception in children

Changes in the Incidence Rates of Gastrointestinal Diseases Due to the COVID-19 Pandemic in South Korea: A Long-Term Perspective

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