Central Surgical AssociationCurrent success in the treatment of intussusception in children
Section snippets
Methods
Patients treated for intussusception at Riley Hospital for Children from January 1, 1990 through December 31, 2004, were reviewed for this study. A hospital admissions database was searched for patients with either a primary or secondary International Classification of Disease, 9th revision code for intussusception (560.0). Electronic and paper medical records were reviewed for data on demographics, comorbidities, presenting signs and symptoms, imaging procedures, results of reduction
Population
Two hundred forty-four children were diagnosed and treated for intussusception over the 15-year period. There were 162 boys and 82 girls (2:1) who ranged in age from 16 days to 12.7 years (median, 8.2 months). Thirty-four percent were <6 months old, 68% were <1 year, and 79% were <2 years at the time of diagnosis. There were 16 (7%) children over the age of 4. Eighty-two percent of children were Caucasian and 16% were African American.
Signs and symptoms
The most common presenting sign or symptom in children with
Discussion
Intussusception is a common childhood problem that results in serious morbidity and mortality throughout the world. In developing nations, the mortality may be as high as 20%.13 The diagnosis of intussusception continues to rely on a high clinical suspicion owing to a large portion of children presenting with nonspecific signs and symptoms. In fact, the classic triad of emesis, pain, and bloody stools is reported to occur in fewer than one quarter of patients.3, 4 This is echoed in the present
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Delayed Repeat Contrast Enema for Treatment of Pediatric Intussusception
2022, Journal of Surgical ResearchLeiomyoma as a lead point for small bowel intussusception in a 16-year-old
2022, Journal of Pediatric Surgery Case ReportsA Retrospective Cohort Study of Optimal Contrast for Successful Intussusception Reduction: Institutional Practices Matter
2021, Journal of Surgical ResearchIntussusception presenting with fluctuating mental status changes
2021, Journal of Pediatric Surgery Case ReportsManagement of intussusception in children: A systematic review
2021, Journal of Pediatric SurgeryCitation Excerpt :Eleven of the 25 studies (44%) used these three criteria to define patients who were eligible to attempt DRE. Two other studies only performed DRE on patients who had a failed enema at an outside, non-children’s hospital [12,13]. In a 1992 report by Stein et al, delayed barium enemas on all 22 patients who failed initial air enemas did not achieve any successful reductions [14].