Intussusception Management in Children: A 15-Year Experience in a Referral Center.

Autor: Delgado-Miguel C; Department of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain. carlosdelgado84@hotmail.com., García A; School of Medicine, Autonomous University of Madrid, Madrid, Spain., Delgado B; Department of Mathematics, Complutense University of Madrid, Madrid, Spain., Muñoz-Serrano AJ; Department of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain., Miguel-Ferrero M; Department of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain., Barrena S; Department of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain., López-Santamaría M; Department of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain., Martínez L; Department of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain.; Institute for Biomedical Resarch La Paz (IdiPaz), Network for Maternal and Children Health (SAMID), La Paz Children's Hospital, Madrid, Spain.
Jazyk: angličtina
Zdroj: Indian journal of pediatrics [Indian J Pediatr] 2023 Dec; Vol. 90 (12), pp. 1198-1203. Date of Electronic Publication: 2022 Jul 12.
DOI: 10.1007/s12098-022-04248-3
Abstrakt: Objective: To report a 15-y, single-center experience in the management and outcomes of ileocolic intussusception (ICI) episodes.
Methods: A retrospective study was performed in patients with ICI episodes, who were treated at a single quaternary referral center from 2005 to 2019. Data evaluated included patient demographics, clinical presentation, treatment modalities, hospital stay, complications, and outcomes.
Results: A total of 546 ICI episodes (66.1% males) were included, with a median age at diagnosis of 15 mo. Enema reduction was performed in 478 patients (87.6%), with an overall success rate of 85.8%. Hydrostatic saline enema was the most effective method (89.3%) when compared to pneumatic (80.6%) or barium enema (79.8%), this difference being statistically significant (p = 0.031). No associated complications were observed during nonoperative reduction. Surgical treatment was performed in 101 patients, in whom 36 bowel resections were performed. Postoperative complications were reported in 6 patients (5.9%). Hospital stay was significantly longer in patients with operative management (median 5 d vs. 1 d; p < 0.001).
Conclusions: Nonoperative management has a high overall success rate and low complication and recurrence rates. Saline enema reduction presents the highest effectiveness, and should be considered the first-line treatment.
(© 2022. The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation.)
Databáze: MEDLINE
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