Pediatric ileocolic intussusception: new observations and unexpected implications

Binkovitz, Larry A.; Kolbe, Amy B.; Orth, Robert C.; Mahood, Nadia F.; Thapa, Prabin; Hull, Nathan C.; Thacker, Paul G.; Moir, Christopher R.

doi:10.1007/s00247-018-4259-9

Cited by 27 publications

(20 citation statements)

References 14 publications

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“…Studies have shown male dominance in invagination cases 15‐17 . In this study, most of the cases were found to be male, in accordance with the literature.…”

Section: Discussionsupporting

confidence: 91%

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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“…Studies have shown male dominance in invagination cases 15‐17 . In this study, most of the cases were found to be male, in accordance with the literature.…”

Section: Discussionsupporting

confidence: 91%

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

2021

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“…Karmazyn et al [1] stated that ultrasound may underestimate ileocolic intussusception length given its limited field of view. We agree and discussed this limitation in the original paper [2].…”

Section: Dear Editorssupporting

confidence: 57%

“…We thank Drs. Karmazyn, Wanner and Billmire [1] for their comments on our paper [2]. Our series differs from the anecdotal group they describe.…”

Section: Dear Editorsmentioning

confidence: 80%

The length of the intussusception increases with distal propagation of the ileocolic intussusception: reply to Karmazyn et al.

Binkovitz

2019

Pediatr Radiol

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“…Timely diagnosis and treatment are crucial because, if left untreated, intussusception can result in high morbidity and mortality. The current diagnostic approach includes ultrasound (US) with or without plain radiographs [ 2 , 3 , 9 ], and the treatment of choice at most institutions is fluoroscopic-guided air contrast enema [ 2 , 4 , 10 – 14 ]. Despite extensive research, the etiology of ileocolic intussusception remains largely unknown [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

The impact of social distancing during the COVID-19 pandemic on rates of pediatric idiopathic intussusception

et al. 2021

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Background The causes of idiopathic ileocolic intussusception are unknown, with infection as the most likely culprit. Recently, social distancing measures were implemented during the coronavirus disease 2019 (COVID-19) pandemic to decrease transmissible infectious diseases, creating an opportune setting to study the role of infection on the pathogenesis of intussusception on a population level. Objective To investigate the impact of social distancing on intussusception. Materials and methods We retrospectively reviewed air contrast enemas and pylorus ultrasounds performed between March 2010 and March 2021 to identify cases of ileocolic intussusception and hypertrophic pyloric stenosis (HPS), using the latter as a negative control. The study time frame was divided into two periods: pre-pandemic (March 2010–February 2020) and pandemic (April 2020–March 2021). The number of cases that occurred in these two time periods were compared using the Poisson regression model. Results Of the 407 cases of idiopathic ileocolic intussusception identified, 396 occurred in the pre-pandemic time period (mean = 39.6 per 12-month period) and 11 occurred in the 12-month pandemic time period. The mean monthly number of intussusceptions showed a decline of 72% (95% confidence interval [CI] 49–85%) between the pre-pandemic and pandemic time periods (3.3 vs. 0.9 monthly cases; P < 0.001). In contrast, the mean monthly number of HPS did not differ significantly ( P = 0.19). Conclusion Social distancing—imposed to curb the spread of infection during the COVID-19 pandemic—resulted in a significant decline in ileocolic intussusception, lending strong support to the theory that infection is the dominant cause of intussusception.

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Pediatric ileocolic intussusception: new observations and unexpected implications

Cited by 27 publications

References 14 publications

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

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

The length of the intussusception increases with distal propagation of the ileocolic intussusception: reply to Karmazyn et al.

The impact of social distancing during the COVID-19 pandemic on rates of pediatric idiopathic intussusception

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