Current success in the treatment of intussusception in children

Kaiser, Anthony D.; Applegate, Kimberly E.; Ladd, Alan P.

doi:10.1016/j.surg.2007.07.015

Cited by 136 publications

(143 citation statements)

References 20 publications

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“…For patients older than 2 years of age at the first episode, for patients in which the first treatment method used was reduction enema, and for patients suspected of having pathological lead points, surgical intervention is recommended. [7,18] Conclusion PR is an effective and safe method in the treatment of intussusception. Late presentation and additional underlying pathologies reduce the success of the procedure and increase the rate of complications.…”

Section: Discussionmentioning

confidence: 98%

A review of intussusception cases involving failed pneumatic reduction and re-intussusception

Özcan

Hüseynov

Emre

et al. 2016

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 98%

A review of intussusception cases involving failed pneumatic reduction and re-intussusception

Özcan

Hüseynov

Emre

et al. 2016

Ulus Travma Acil Cerrahi Derg

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“…However, it is important to recognise which of these children will require prompt surgery, as delay may further compromise bowel viability and lead to necrosis, morbidity and sometimes even death [3,18]. This need is more pronounced in rural or remote areas where simple intussusception may be treated by air enema locally, but the delay associated with further reduction attempts may waste valuable time until the child is transferred to a tertiary hospital [14].…”

Section: Discussionmentioning

confidence: 99%

“…This need is more pronounced in rural or remote areas where simple intussusception may be treated by air enema locally, but the delay associated with further reduction attempts may waste valuable time until the child is transferred to a tertiary hospital [14]. Air enema has become the preferred method for intussusception reduction in most centres [2][3][4]7]. It is thus important to characterise findings in this method that can predict irreducibility.…”

Section: Discussionmentioning

confidence: 99%

“…Mass use of ultrasound as a diagnostic modality has led to earlier detection, with a higher success rate for enema reduction of intussusceptions [2]. While most cases of ileocolic intussusception are successfully reduced without surgery, there remains a subgroup of paediatric patients who require operative intervention [3,4]. The presence of shock, peritonitis or perforation with free air obviates the enema trial [5,6].…”

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confidence: 99%

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Air encircling the intussusceptum on air enema for intussusception reduction: an indication for surgery?

Koplewitz

Simanovsky²,

Lebensart³

et al. 2011

BJR

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Objectives: The prompt identification of children in whom enema reduction of intussusception might fail and surgery is necessary is crucial in order to avoid futile repeat attempts and untoward complications. The purpose of this retrospective review was to determine whether air encircling the intussusceptum in the small bowel during air enema for intussusception reduction could serve as an indication for operation rather than repeat attempts at radiological reduction. Methods: Imaging studies of 83 children aged 4 to 40 months with idiopathic intussusception who had air enema for intussusception reduction were reviewed for the presence of air encircling the intussusceptum in the distal small bowel. Findings were correlated with clinical course and surgical findings. Results: In 12 of 83 patients, air was seen encircling the intussusceptum in the small bowel, and in 11 of these (88%) air enema failed to reduce the intussusception. In 8 of the 11, delayed repeated attempts using air enema failed to reduce intussusception. Clinical signs and their duration did not differ between those children without and those with air encircling the intussusceptum. Conclusion: In the presence of air encircling the intussusceptum in the distal small bowel on air enema, delayed repeated attempts for intussusception reduction are unlikely to succeed, and surgery is indicated.

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“…Intussusception occurs when a segment of bowel invaginates into a more distal segment, classically at the ileo-caecal junction (in over 80% of cases), leading to venous compression, oedema and vascular compromise of the bowel [55]. If left untreated, necrosis and ⁄ or perforation of the bowel may occur.…”

Section: Intussusceptionmentioning

confidence: 99%

Paediatric emergencies

McDougall

2012

Anaesthesia

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SummaryThe care of sick children can be challenging for the anaesthetist who is only involved in the occasional care of paediatric patients. This paper outlines the care of medical and surgical paediatric emergencies for which an anaesthetist working at a district general hospital or equivalent may encounter. Conditions discussed include paediatric respiratory emergencies, sepsis, status epilepticus, the acute abdomen in the newborn, intussusception, the bleeding tonsil, trauma and the child with burns.

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Current success in the treatment of intussusception in children

Cited by 136 publications

References 20 publications

A review of intussusception cases involving failed pneumatic reduction and re-intussusception

A review of intussusception cases involving failed pneumatic reduction and re-intussusception

Air encircling the intussusceptum on air enema for intussusception reduction: an indication for surgery?

Paediatric emergencies

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