Clinical Characteristics of Intussusception with Surgical Reduction: a Single-Center Experience with 568 Cases

Hu, Jiajie; Liu, Miaoqing; Yu, Xiangbo; Xia, Qiongzhang; Wang, Ke; Guo, Shikun; Chen, Xiaoming

doi:10.1007/s11605-019-04178-0

Cited by 8 publications

(13 citation statements)

References 26 publications

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“…Thus, bloody stool is accepted as a late symptom and is considered to be associated with intestinal ischemia and necrosis. 24 Park et al 9 mentioned that the symptom duration exceeded 24 hours in only 16.8% of their cases, similar to our study. They reported that 23% of patients had bloody stool, and the presence of bloody stool was more frequent in late admission cases.…”

Section: Discussionsupporting

confidence: 91%

“…Later in the course of intussusception, as the mucosa becomes ischemic and sloughed, stool may become mucoid and bloody. Thus, bloody stool is accepted as a late symptom and is considered to be associated with intestinal ischemia and necrosis 24 . Park et al 9 mentioned that the symptom duration exceeded 24 hours in only 16.8% of their cases, similar to our study.…”

Section: Discussionsupporting

confidence: 88%

“…Some authors have reported that bloody stools, vomiting, poor oral intake, and lethargy are more frequent in children aged younger than 1 year. 9,24 Patients aged younger than 2 years had less fever, abdominal pain, and defense at physical examination, and more irritability, bloody stool, and recurrences. They also had a longer intussusceptum segment and less lymphadenopathy on USG examination.…”

Section: Discussionmentioning

confidence: 99%

“…Symptom duration may not reflect the disease duration, and younger patients may have a longer disease duration. Some authors have reported that bloody stools, vomiting, poor oral intake, and lethargy are more frequent in children aged younger than 1 year 9,24 …”

Section: Discussionmentioning

confidence: 99%

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Comparison of Clinical Features of Intussusception in Terms of Age and Duration of Symptoms

Acer-Demir,

Güney,

Fakioğlu

et al. 2023

Pediatr Emer Care

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Objectives Intussusception is one of the most common surgical emergencies in children. We aimed to analyze the current clinical characteristics of intussusception. Methods We retrospectively reviewed 209 children diagnosed with intussusception, who were admitted to our hospital between January 2009 and August 2022. We grouped the patients according to symptom duration (before and after 12 hours and before and after 24 hours) and age (younger and older than 1 year, and younger and older than 2 years). Results The median age at admission was 31 months (2–204 months). The median symptom duration was 12 hours (1–420 hours). Most patients (91.4%) were admitted due to abdominal pain, irritability, and/or vomiting. The most common symptoms were vomiting (70.8%) and abdominal pain (60.6%). The classical triad of symptoms was seen in 9 cases (4.3%). In patients aged younger than 1 year, bloody stool, abnormal abdominal radiography findings, and a longer intussusceptum segment were more frequent. In patients aged younger than 2 years, abdominal pain, fever, and defense on physical examination were less frequent, and irritability, bloody stool, and recurrence were more frequent. Patients aged younger than 2 years had a longer intussusceptum segment and less lymphadenopathy based on ultrasonography (USG). The patients admitted more than 12 hours after symptom onset had more diarrhea, fever, abnormal x-ray, peritoneal fluid on USG, and recurrences, and less vomiting. After the symptoms had lasted for 24 hours, fever, mass palpation, and abnormal abdominal radiography findings were more frequent. Conclusions We recommend performing abdominal USG, especially in young children admitted to the emergency department with complaints of abdominal pain and/or vomiting, to rule out intussusception. In countries that have reported a high mortality rate from intussusception, we advise precautions such as increasing the availability of USG in emergency departments and educating the population to seek early medical assistance.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Clinical Features of Intussusception in Terms of Age and Duration of Symptoms

Acer-Demir,

Güney,

Fakioğlu

et al. 2023

Pediatr Emer Care

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“…3,4 With the progress of medical technology, image-guided nonsurgical reduction methods have been improved, such as X-ray-monitored pneumatic (or barium) reduction and ultrasound-guided hydrostatic reduction. According to some literature reports, ultrasound-guided hydrostatic reduction has the following advantages compared to barium or pneumatic reduction: (1) It avoids exposing medical staff, children, and their families to X-rays; 4,7,11,13,16 (2) The pressure of hydrostatic reduction is mild and persistent, which reduces the incidence of intestinal perforation; 11 (3) Should perforation occur, the saline would not stimulate the abdominal cavity, which would avoid the occurrence of chemical peritonitis, unlike with barium reduction, and tension pneumoperitoneum with pneumatic reduction. 5,11 (4) The type of intussusception and pathological leading point can be checked by ultrasound; 7,11,13,17 (5) The success rate of reduction is high.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of ultrasound-guided hydrostatic reduction for children with acute intussusception

et al. 2021

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Objective This study aims to explore the effectiveness and safety of the new-type ultrasound-guided hydrostatic reduction for children with acute intussusception. Methods The clinical data of 364 children with primary acute intussusception who underwent nonsurgical reduction in our hospital between January 2016 and May 2019 were retrospectively analyzed. Among the 364 children, 119 formed the hydrostatic reduction group. There were 89 males and 30 females, and the average age of admission was 25.13 ± 1.43 months. Among the pneumatic reduction group of 245 patients, there were 163 males and 82 females. The average age of admission was 22.47 ± 1.52 months. The reduction rate, length of stay, and perforation rate were compared between the two groups. Results Univariate analysis showed that the reduction rate in the hydrostatic group (94.96%) was higher than in the pneumatic group (85.31%) ( p = 0.007), and the hospital stay (2.76 ± 0.15 days) of the hydrostatic reduction group was shorter than that of the pneumatic reduction group (3.56 ± 0.35 days) ( p = 0.038). In children with intussusception time >48 h, the reduction rate was 95.45% in the hydrostatic reduction group and 86.20% in the pneumatic reduction group. Conclusion The new-type ultrasound-guided hydrostatic reduction has a higher reduction rate in the treatment of acute intussusception in children results in a shortened hospital stay, It is effective, safe, and avoids radiation exposure.

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Small bowel intussusception secondary to intestinal submucosal cyst in an infant

Inoue

Odaka

Muta

et al. 2022

Journal of Pediatric Surgery Case Reports

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Clinical Characteristics of Intussusception with Surgical Reduction: a Single-Center Experience with 568 Cases

Cited by 8 publications

References 26 publications

Comparison of Clinical Features of Intussusception in Terms of Age and Duration of Symptoms

Comparison of Clinical Features of Intussusception in Terms of Age and Duration of Symptoms

Effectiveness and safety of ultrasound-guided hydrostatic reduction for children with acute intussusception

Small bowel intussusception secondary to intestinal submucosal cyst in an infant

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