Invagination intestinale

Le référentiel médical TREKK est une collection des meilleures ressources et évidences sur divers sujets. La collection est constituée par une équipe de synthèse des connaissances à l’Alberta Research Centre for Health Evidence (ARCHE) et par une équipe de spécialistes qui contribuent au contenu médical TREKK.

L’équipe de synthèse utilise un cadre hiérarchique des données probantes en forme de pyramide « 4S » (voir le modèle “4S” Hierarchy of evidence), pour répondre aux besoins des parties prenantes. Pour ce faire, l’équipe effectue à priori une recherche de la littérature à partir des bases de données scientifiques (Cochrane Library, PubMed, TRIP Database) et des moteurs de recherche internet (Google, Google Scholar). Les résultats sont organisés en 5 volets de présentation :

1. Recommandations de base
2. Lignes directrices sur la pratique clinique et algorithmes
3. Survols et résumés des revues systématiques
4. Revues systématiques
5. Études clés

Ressources pour parents et familles, si applicable

En collaboration avec l’équipe de synthèse des connaissances, les spécialistes qui contribuent au contenu TREKK sélectionnent les items pertinents, présentés ci-dessous. Le référentiel médical TREKK n’est pas conçu comme liste exhaustive du sujet, mais plutôt comme liste sélectionnée par un consensus d’experts : c’est une liste de ressources fondées sur des données probantes à date, pertinentes, et utilisables au Service général des urgences médicales. Les ressources à libre accès sont privilégiées (c’est-à-dire, disponibles à tous, gratuites, et sans abonnement nécessaire).

Pour en savoir plus sur l’élaboration de nos référentiels, cliquez ici.

Un grand merci aux spécialistes cliniques et à l’Équipe de synthèse des connaissances qui ont dirigé le développement de ce référentiel médical.

Zebulon Timmons, MD; Chief, UNMC Division of Emergency Medicine; Associate Professor, UNMC Division of Emergency Medicine, University of Nebraska Medical Center

Liza Bialy, BSc, MPH, Knowledge Synthesis Project Coordinator, Alberta Research Centre For Health Evidence, Department of Pediatrics, University of Alberta

Sarah Elliott, PhD, Assistant Director, Alberta Research Centre for Health Evidence, Department of Pediatrics, University of Alberta

Cliquez ici pour voir les ressources TREKK élaborées pour professionnels de la santé, parents, et familles.

1. Kwon H, Lee JH, Jeong JH, et al. A practice guideline for postreduction management of intussusception of children in the emergency department. Pediatr Emerg Care. 2019;35(8):533-8.
2. Le Saux N. Recommendations for the use of rotavirus vaccines in infants. Paediatr Child Health. 2017;22(5):290-4.
3. Ito Y, Kusakawa I, Murata Y, et al. Japanese guidelines for the management of intussusception in children, 2011. Pediatr Int. 2012;54(6):948-58.

1. SickKids. Intussusception care pathway. SickKids. 2022.
2. Sutcliffe J. BMJ Best practice: Intussusception. BMJ. 2022.
3. Raymond-Dufresne É, Ghanayem H. Towards evidence-based emergency medicine: Best BETS from the Manchester Royal Infirmary. BET 2: Can emergency physicians safely rule in or rule out paediatric intussusception in the emergency department using bedside ultrasound? Emerg Med J. 2012;29(10):854-5.
4. Cachat F, Ramseyer P. Towards evidence-based medicine for paediatricians. Question 3. Does the administration of glucagon improve the rate of radiological reduction in children with acute intestinal intussusception? Arch Dis Child. 2012;97(4):389-91.
5. Best evidence topic reports. Bet 4. Role of plain abdominal radiograph in the diagnosis of intussusception. Emerg Med J. 2008;25(2):106-7.
6. Applegate KE. Clinically suspected intussusception in children: Evidence-based review and self- assessment module. AJR Am J Roentgenol. 2005;185(3 Suppl):S175-83.

1. Shavit I, Levy N, Dreznik Y, Soudack M, Cohen DM, Kuint RC. Practice variation in the management of pediatric intussusception: a narrative review. Eur J Pediatr. 2024 Nov;183(11):4897-4904.
2. Liu L, Zhang L, Fang Y, Yang Y, You W, Bai J, Zhang B, Xie S, Fang Y. Air enema reduction versus hydrostatic enema reduction for intussusceptionsin children: A systematic review and meta-analysis. PLoS One. 2024 Mar 18;19(3):e0297985.
3. Hailemariam T, Sisay S, Mebratu Y, Belay F, Getinet T, Solomon S, Belina M, Abebe A, Hilawi Tewodros B, Manyazewal T. Effects of sedatives on radiologic enema reduction in children with ileocolic intussusception: A systematic review and meta-analysis. Eur J Radiol. 2024 Jan;170:111237.
4. Attoun MA, Albalawi SMD, Ayoub A, Alnasser AK, Alkaram EH, Khubrani FA, Alzahrani KJ, Alatawi KA, Almutairi N, Alnami AG. The Management of Intussusception: A Systematic Review. Cureus. 2023 Nov 27;15(11):e49481.
5. Wang G, Zhang K, Zhang R, Kong X, Guo C. Impact of vaccination with different types of rotavirus vaccines on the incidence of intussusception: a randomized controlled meta-analysis. Front Pediatr. 2023 Jul 31;11:1239423.
6. Rahmani E, Amani-Beni R, Hekmatnia Y, et al. Diagnostic Accuracy of Ultrasonography for Detection of Intussusception in Children; a Systematic Review and Meta-Analysis. Arch Acad Emerg Med. 2023 Feb 28;11(1):e24.
7. Bergman H, Henschke N, Hungerford D, Pitan F, Ndwandwe D, Cunliffe N, Soares-Weiser K. Vaccines for preventing rotavirus diarrhoea: vaccines in use. Cochrane Database of Systematic Reviews 2021, Issue 11. Art. No.: CD008521.
8. Kim PH, Hwang J, Yoon HM, et al. Predictors of failed enema reduction in children with intussusception: A systematic review and meta-analysis. Eur Radiol. 2021;31(11):8081-97.
9. Kelley-Quon LI, Arthur LG, Williams RF, et al. Management of intussusception in children: A systematic review. J Pediatr Surg. 2021;56(3):587-96.
10. Lin-Martore M, Kornblith AE, Kohn MA, et al. Diagnostic accuracy of point-of-care ultrasound for intussusception in children presenting to the emergency department: A systematic review and meta- analysis. West J Emerg Med. 2020;21(4):1008-16.
11. Tsou PY, Wang YH, Ma YK, et al. Accuracy of point-of-care ultrasound and radiology-performed ultrasound for intussusception: A systematic review and meta-analysis. Am J Emerg Med. 2019;37(9):1760-9.
12. Amuddhu SK, Chen Y, Nah SA. Inpatient admission versus emergency department management of intussusception in children: A systemic review and meta-analysis of outcomes. Eur J Pediatr Surg. 2019;29(1):7-13.
13. Long B, April MD. What measures improve reduction of intussusception in pediatric patients? Ann Emerg Med. 2018;71(2):236-8.
14. Koch J, Harder T, von Kries R, et al. Risk of intussusception after rotavirus vaccination. Dtsch Arztebl Int. 2017;114(15):255-62.
15. Kassim P, Eslick GD. Risk of intussusception following rotavirus vaccination: An evidence based meta-analysis of cohort and case-control studies. Vaccine. 2017;35(33):4276-86.
16. Chew R, Ditchfield M, Paul E, et al. Comparison of safety and efficacy of image-guided enema reduction techniques for paediatric intussusception: A review of the literature. J Med Imaging Radiat Oncol. 2017;61(6):711-7.
17. Carroll AG, Kavanagh RG, Ni Leidhin C, et al. Comparative effectiveness of imaging modalities for the diagnosis and treatment of intussusception: A critically appraised topic. Acad Radiol. 2017;24(5):521-9.
18. Gluckman S, Karpelowsky J, Webster AC, McGee RG. Management for intussusception in children. Cochrane Database of Systematic Reviews 2017, Issue 6. Art. No.: CD006476.
19. Fiegel H, Gfroerer S, Rolle U. Systematic review shows that pathological lead points are important and frequent in intussusception and are not limited to infants. Acta Paediatr. 2016;105(11):1275-9.
20. Sadigh G, Zou KH, Razavi SA, et al. Meta-analysis of air versus liquid enema for intussusception reduction in children. AJR Am J Roentgenol. 2015;205(5):W542-9.
21. Gray MP, Li SH, Hoffmann RG, et al. Recurrence rates after intussusception enema reduction: A meta-analysis. Pediatrics. 2014;134(1):110-9.
22. Yang G, Wang X, Jiang W, et al. Postoperative intussusceptions in children and infants: A systematic review. Pediatr Surg Int. 2013;29(12):1273-9.
23. Beres AL, Baird R. An institutional analysis and systematic review with meta-analysis of pneumatic versus hydrostatic reduction for pediatric intussusception. Surgery. 2013;154(2):328-34.
24. Bucher BT, Hall BL, Warner BW, et al. Intussusception in children: Cost-effectiveness of ultrasound vs diagnostic contrast enema. J Pediatr Surg. 2011;46(6):1099-105.

1. Mertiri L, Sher AC, Sammer MB, Ngan E, Seghers VJ, Madueke UM, Stafford S, Kraus SJ, Kan JH. Association of Time Since Diagnosis of Pediatric IleocolicIntussusception with Success of Attempted Reduction: Analysis in 1065 Patients. AJR Am J Roentgenol. 2024 Sep 4.
2. Johnston W, Mak Croughan A, Hwang R, Myers SR, Davis C, Nace G, Allukian M. Ileocolic Intussusception: Iterative Quality Improvement to Address a Recurring Problem. J Surg Res. 2024 Sep;301:623-630.
3. Carter M, Afowork J, Pitt JB, Ayala SA, Goldstein SD. Scoring System to Evaluate Risk of Nonoperative Management Failure in Children with Intussusception. J Surg Res. 2024 Aug;300:503-513.
4. Katz-Dana H, Harel-Sterling M, Vincent D, Dana E, Navarro OM, McLean LJ. A POCUS-first pathway to streamline care for children with suspected ileocolic intussusception. CJEM. 2024 Apr;26(4):235-243.
5. Delgado-Miguel C, García A, Delgado B, Muñoz-Serrano AJ, Miguel-Ferrero M, Barrena S, López- Santamaría M, Martínez L. Intussusception Management in Children: A 15-Year Experience in a Referral Center. Indian J Pediatr. 2023 Dec;90(12):1198-1203.
6. Poonai N, Cohen DM, MacDowell D, Mistry RD, Mintegi S, Craig S, et al. Sedation and Analgesia for Reduction of Pediatric Ileocolic Intussusception. JAMA Netw Open. 2023 Jun 1;6(6):e2317200.
7. Tonson la Tour A, Desjardins MP, Gravel J. Evaluation of bedside sonography performed by emergency physicians to detect intussusception in children in the emergency department. Acad Emerg Med. 2021;28(8):866-72.
8. Arroyo AC, Zerzan J, Vazquez H, et al. Diagnostic accuracy of point-of-care ultrasound for intussusception performed by pediatric emergency medicine physicians. J Emerg Med. 2021;60(5):626-32.
9. Vo A, Levin TL, Taragin B, et al. Management of intussusception in the pediatric emergency department: Risk factors for recurrence. Pediatr Emerg Care. 2020;36(4):e185-e8.
10. Lee JY, Byun YH, Park JS, et al. Lactic acid level as an outcome predictor in pediatric patients with intussusception in the emergency department. BMC Pediatr. 2020;20(1):184.
11. Trigylidas TE, Hegenbarth MA, Patel L, et al. Pediatric emergency medicine point-of-care ultrasound for the diagnosis of intussusception. J Emerg Med. 2019;57(3):367-74.
12. Sujka JA, Dalton B, Gonzalez K, et al. Emergency department discharge following successful radiologic reduction of ileocolic intussusception in children: A protocol based prospective observational study. J Pediatr Surg. 2019;54(8):1609-12.
13. Levinson H, Rimon A, Scolnik D, et al. Fever as a presenting symptom in children evaluated for ileocolic intussusception: The experience of a large tertiary care pediatric hospital. Pediatr Emerg Care. 2019;35(2):121-4.
14. Lampl BS, Glaab J, Ayyala RS, et al. Is intussusception a middle-of-the-night emergency? Pediatr Emerg Care. 2019;35(10):684-6.
15. Kwon H, Lee JH, Jeong JH, et al. A practice guideline for postreduction management of intussusception of children in the emergency department. Pediatr Emerg Care. 2019;35(8):533-8.
16. Xie X, Wu Y, Wang Q, et al. A randomized trial of pneumatic reduction versus hydrostatic reduction for intussusception in pediatric patients. J Pediatr Surg. 2018;53(8):1464-8.
17. Kimia AA, Williams S, Hadar PN, et al. Positive guaiac and bloody stool are poor predictors of intussusception. Am J Emerg Med. 2018;36(6):931-4.
18. Savoie KB, Thomas F, Nouer SS, et al. Age at presentation and management of pediatric intussusception: A pediatric health information system database study. Surgery. 2017;161(4):995- 1003.
19. Kaplan SL, Magill D, Felice MA, et al. Intussusception reduction: Effect of air vs. Liquid enema on radiation dose. Pediatr Radiol. 2017;47(11):1471-6.
20. Huang HY, Huang XZ, Han YJ, et al. Risk factors associated with intestinal necrosis in children with failed non-surgical reduction for intussusception. Pediatr Surg Int. 2017;33(5):575-80.
21. Feldman O, Weiser G, Hanna M, et al. Success rate of pneumatic reduction of intussusception with and without sedation. Paediatr Anaesth. 2017;27(2):190-5.
22. Efrati Y, Klin B, Kozer E, et al. The role of dexamethasone in decreasing early recurrence of acute intussusception in children: A retrospective study. J Pediatr Surg. 2017;52(7):1141-3.
23. Zhang Y, Dong Q, Li SX, et al. Clinical and ultrasonographic features of secondary intussusception in children. Eur Radiol. 2016;26(12):4329-38.
24. Tate JE, Yen C, Steiner CA, et al. Intussusception rates before and after the introduction of rotavirus vaccine. Pediatrics. 2016;138(3).
25. Tareen F, Mc Laughlin D, Cianci F, et al. Abdominal radiography is not necessary in children with intussusception. Pediatr Surg Int. 2016;32(1):89-92.
26. Puckett Y, Greenspon J, Fitzpatrick C, et al. Utility of hospital admission for pediatric intussusceptions. Pediatr Surg Int. 2016;32(8):805-9.
27. Ntoulia A, Tharakan SJ, Reid JR, et al. Failed intussusception reduction in children: Correlation between radiologic, surgical, and pathologic findings. AJR Am J Roentgenol. 2016;207(2):424-33.
28. Gfroerer S, Fiegel H, Rolle U. Ultrasound-guided reduction of intussusception: A safe and effective method performed by pediatric surgeons. Pediatr Surg Int. 2016;32(7):679-82.
29. Flaum V, Schneider A, Gomes Ferreira C, et al. Twenty years’ experience for reduction of ileocolic intussusceptions by saline enema under sonography control. J Pediatr Surg. 2016;51(1):179-82.
30. Wong CW, Chan IH, Chung PH, et al. Childhood intussusception: 17-year experience at a tertiary referral centre in Hong Kong. Hong Kong Med J. 2015;21(6):518-23.
31. Vega García L, Fuentes-Leonarte V, Tenías JM, et al. Association between medication and intestinal intussusception in children: A case-crossover study. Pediatr Emerg Care. 2015;31(4):250- 4.
32. Raval MV, Minneci PC, Deans KJ, et al. Improving quality and efficiency for intussusception management after successful enema reduction. Pediatrics. 2015;136(5):e1345-52.
33. Lessenich EM, Kimia AA, Mandeville K, et al. The frequency of postreduction interventions after successful enema reduction of intussusception. Acad Emerg Med. 2015;22(9):1042-7.
34. Lautz TB, Thurm CW, Rothstein DH. Delayed repeat enemas are safe and cost-effective in the management of pediatric intussusception. J Pediatr Surg. 2015;50(3):423-7.
35. Esposito F, Ambrosio C, De Fronzo S, et al. Fluoroscopy-guided hydrostatic reduction of intussusception in infancy: Role of pharmacological premedication. Radiol Med. 2015;120(6):549- 56.
36. Nguyen HN, Kan JH, Guillerman RP, et al. Intussusception revisited: Is immediate on-site surgeon availability at the time of reduction necessary? AJR Am J Roentgenol. 2014;202(2):432-6.
37. Beres AL, Baird R, Fung E, et al. Comparative outcome analysis of the management of pediatric intussusception with or without surgical admission. J Pediatr Surg. 2014;49(5):750-2.
38. Chien M, Willyerd FA, Mandeville K, et al. Management of the child after enema-reduced intussusception: Hospital or home? J Emerg Med. 2013;44(1):53-7.
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40. Al-Tokhais T, Hsieh H, Pemberton J, et al. Antibiotics administration before enema reduction of intussusception: Is it necessary? J Pediatr Surg. 2012;47(5):928-30.
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