Management of ileocolic intussusception in the Czech Republic
Autor: | S Krpatová, T Limprechtová, Ladislav Plánka, P Havránek, Robert Macháček, Barbora Kučerová, J Bierhanzlová, R Hanák, K Harvánek, Michal Rygl, J Schmidtová, Petr Polák, Radek Štichhauer, Zbyněk Horák, D Podhájecký, Natalie Polívka, I Slívová, T Příplatová, P Dohnal, Lucie Pos, J Pejšová Šilerová, L Janeček, Tomáš Malý, Vojtěch Dotlačil, A Podolová |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Under sedation Enema Intussusception (medical disorder) medicine Humans General anaesthesia Czech Republic Retrospective Studies Paediatric surgery Contrast enema Ileal Diseases business.industry General surgery Infant Retrospective cohort study Ileocolic intussusception medicine.disease digestive system diseases humanities Treatment Outcome Acute abdomen Child Preschool medicine.symptom business Intussusception |
Zdroj: | Perspectives in Surgery. 100 |
Popis: | Introduction: Ileocolic intussusception is one of the most frequent causes of acute abdomen in infants and toddlers. The purpose of this study was to evaluate the treatment of ileocolic intussusception in the Czech Republic in 2019. Methods: Fourteen departments of paediatric surgery participated in this multicentre retrospective study. A SurveyMonkey Inc. questionnaire was used for anonymous data collection of patients with ileocolic intussusception. Results: In 2019, ileocolic intussusception was diagnosed in 162 patients; median age was 30 months (3 months to 9.5 years). Contrast enema was indicated in 133 patients, primary surgery in 14 patients and spontaneous reduction was found in 15 patients. All departments using contrast enema had a success rate of 89.5%; 12 departments approached the contrast enema procedure under general anaesthesia (including myorelaxation at 7 departments) and 2 departments under sedation. Contrast enema under general anaesthesia with/without myorelaxation was significantly more successful than contrast enema under sedation (108/113, 95.6% vs 11/20, 55%; p |
Databáze: | OpenAIRE |
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