Intussusception is the most common abdominal emergency of early childhood and is usually idiopathic. The vast majority of cases (80%) occur in children less than 2 years, with the most frequent age range being 5-10 months.
Key Study: The role of dexamethasone in decreasing early recurrence of acute intussusception in children: A retrospective study
Efrati Y, Klin B, Kozer E, Abu-Kishk I
Efrati Y, Klin B, Kozer E, Abu-Kishk I
The purpose of this study was to examine the role of dexamethasone in decreasing early RI.
The purpose of this study was to examine the role of dexamethasone in decreasing early RI.
Key Study: Success rate of pneumatic reduction of intussusception with and without sedation
Feldman O, Weiser G, Hanna M, Devir O, Balla U, Johnson DW, Kozer E, Shavit I
Feldman O, Weiser G, Hanna M, Devir O, Balla U, Johnson DW, Kozer E, Shavit I
The aim of this study was to evaluate the success rate of pneumatic reduction of intussusception with and without sedation.
The aim of this study was to evaluate the success rate of pneumatic reduction of intussusception with and without sedation.
Key Study: Assessing the risk of intussusception and rotavirus vaccine safety in Canada
Hawken S, Ducharme R, Rosella LC, Benchimol EI, Langley JM, Wilson K, Crowcroft NS, Halperin SA, Desai S, Naus M, Sanford CJ, Mahmud SM, Deeks SL
Hawken S, Ducharme R, Rosella LC, Benchimol EI, Langley JM, Wilson K, Crowcro...
Objective: To determine the incidence of intussusception among infants in Canada both before and adter introduction of rotavirus immunization programs.
Objective: To determine the incidence of intussusception among infants in Canada both before and adter introduction of rotavirus immunization programs.
Key Study: Risk factors associated with intestinal necrosis in children with failed non-surgical reduction for intussusception
Huang HY, Huang XZ, Han YJ, Zhu LB, Huang KY, Lin J, Li ZR
Huang HY, Huang XZ, Han YJ, Zhu LB, Huang KY, Lin J, Li ZR
Objective: This study aimed to investigate the risk factors associated with intestinal necrosis in pediatric patients with failed non-surgical reduction for intussusception.
Objective: This study aimed to investigate the risk factors associated with intestinal necrosis in pediatric patients with failed non-surgical reduction for intussusception.
Key Study: Intussusception reduction: Effect of air vs. liquid enema on radiation dose
Kaplan SL, Magill D, Felice MA, Edgar JC, Anupindi SA, Zhu X
Kaplan SL, Magill D, Felice MA, Edgar JC, Anupindi SA, Zhu X
Objective: We test the hypothesis that air enema reduction of ileocolic intussusception results in lower radiation dose than liquid contrast enema independent of fluroscopy time. We describe a role for automatic exposure control in this dose difference.
Objective: We test the hypothesis that air enema reduction of ileocolic intussusception results in lower radiation dose than liquid contrast enema independent of fluroscopy time. We describe a role for automatic exposure control in this dose difference.
Key Study: Positive guaiac and bloody stool are poor predictors of intussusception
Kimia AA, Williams S, Hadar PN, Landschaft A, Porter J, Bachur RG
Kimia AA, Williams S, Hadar PN, Landschaft A, Porter J, Bachur RG
Objective: To assess the predictive value of GI bleeding (positive guaiac test, bloody stool and rectal bleeding) in evaluation of intussusception.
Objective: To assess the predictive value of GI bleeding (positive guaiac test, bloody stool and rectal bleeding) in evaluation of intussusception.
Key Study: A Practice Guideline for Postreduction Management of Intussusception of Children in the Emergency Department
Kwon H, Lee JH, Jeong JH, Yang HR, Kwak YH, Kim DK, Kim K
Kwon H, Lee JH, Jeong JH, Yang HR, Kwak YH, Kim DK, Kim K
Objective: The aim of this study was to evaluate the effects of a practice guideline of postreduction management of intussusception in children on the length of stay (LOS) from reduction in the pediatric emergency department (PED) and on the incidence of recurrence.
Objective: The aim of this study was to evaluate the effects of a practice guideline of postreduction management of intussusception in children on the length of stay (LOS) from reduction in the pediatric emergency department (PED) and on the incidence of recurrence.
Key Study: Is Intussusception a Middle-of-the-Night Emergency?
Lampl BS, Glaab J, Ayyala RS, Kanchi R, Ruzal-Shapiro CB
Lampl BS, Glaab J, Ayyala RS, Kanchi R, Ruzal-Shapiro CB
Objectives: Intussusception is the most common abdominal emergency in pediatric patients aged 6 months to 3 years. There is often a delay in diagnosis, as the presentation can be confused for viral gastroenteritis. Given this scenario, we questioned the practice of performing emergency reductions in children during the night when minimal support staff are available. Pneumatic reduction is not a benign procedure, with the most significant risk being bowel perforation. We performed this analysis to determine whether it would be safe to delay reduction in these patients until normal working hours when more support staff are available.
Objectives: Intussusception is the most common abdominal emergency in pediatric patients aged 6 months to 3 years. There is often a delay in diagnosis, as the presentation can be confused for viral gastroenteritis. Given this scenario, we questioned the practice of performing emergency reductions in children during the night when minimal support staff are available. Pneumatic reduction is not a benign procedure, with the most significant risk being bowel perforation. We performed this analysis to determine whether it would be safe to delay reduction in these patients until normal working hours when more support staff are available.
Key Study: Maternal smoking as a risk factor for childhood intussusception
Nakahara Y, Yorifuji T, Kubo T, Doi H
Nakahara Y, Yorifuji T, Kubo T, Doi H
Objective: The association between the risk of hospital admission for intussusception and maternal smoking was examined, using a nationwide population-based longitudinal survey begun in Japan in 2010.
Objective: The association between the risk of hospital admission for intussusception and maternal smoking was examined, using a nationwide population-based longitudinal survey begun in Japan in 2010.
Key Study: Age at presentation and management of pediatric intussusception: A Pediatric Health Information System database study
Savoie KB, Thomas F, Nouer SS, Langham MR Jr, Huang EY
Savoie KB, Thomas F, Nouer SS, Langham MR Jr, Huang EY
Objective: To determine whether older children are at greater risk of requiring operative intervention and/or having pathology causing lead points, such that enema reduction should not be attempted.
Objective: To determine whether older children are at greater risk of requiring operative intervention and/or having pathology causing lead points, such that enema reduction should not be attempted.
Key Study: Comparison of Lactic Acid Levels in Children with Suspected and Confirmed Intussusception
Tamas V, Ishimine P
Tamas V, Ishimine P
Objective: We present a case series comparing lactic acid levels in children with suspected and confirmed intussusception.
Objective: We present a case series comparing lactic acid levels in children with suspected and confirmed intussusception.
Key Study: Effects of esketamine sedation compared to morphine analgesia on hydrostatic reduction of intussusception: A case-cohort comparison study
van de Bunt JA, Veldhoen ES, Nievelstein RAJ, Hulsker CCC, Schouten ANJ, van Herwaarden MYA
van de Bunt JA, Veldhoen ES, Nievelstein RAJ, Hulsker CCC, Schouten ANJ, van ...
The aim of this study was to compare hydrostatic reduction using morphine analgesia compared to procedural sedation with eskatamine in terms of success rate, adverse events, and duration for reduction.
The aim of this study was to compare hydrostatic reduction using morphine analgesia compared to procedural sedation with eskatamine in terms of success rate, adverse events, and duration for reduction.
Key Study: Twenty years' experience for reduction of ileocolic intussusceptions by saline enema under sonography control
Flaum V, Schneider A, Gomes Ferreira C, Philippe P, Sebastia Sancho C, Lacreuse I, Moog R, Kauffmann I, Koob M, Christmann D, Douzal V, Lefebvre F, Becmeur F
Flaum V, Schneider A, Gomes Ferreira C, Philippe P, Sebastia Sancho C, Lacreu...
The purpose of this study was to present our 20 years' experience in intussusception reductions using saline enema under ultrasound control and to assess its efficiency and safety.
The purpose of this study was to present our 20 years' experience in intussusception reductions using saline enema under ultrasound control and to assess its efficiency and safety.
Key Study: Ultrasound-guided reduction of intussusception: a safe and effective method performed by pediatric surgeons
Gfroerer S, Fiegel H, Rolle U
Gfroerer S, Fiegel H, Rolle U
This retrospective study evaluates the efficacy and safety of ultrasound in diagnosis and treatment of intussusception performed solely by pediatric surgeons.
This retrospective study evaluates the efficacy and safety of ultrasound in diagnosis and treatment of intussusception performed solely by pediatric surgeons.
Key Study: Failed Intussusception Reduction in Children: Correlation Between Radiologic, Surgical, and Pathologic Findings
Ntoulia A, Tharakan SJ, Reid JR, Mahboubi S
Ntoulia A, Tharakan SJ, Reid JR, Mahboubi S
The objective of this study was to identify causes of irreducible intussusception after contrast enema and to correlate imaging findings with surgical and histopathological findings.
The objective of this study was to identify causes of irreducible intussusception after contrast enema and to correlate imaging findings with surgical and histopathological findings.
Key Study: Utility of hospital admission for pediatric intussusceptions
Puckett Y, Greenspon J, Fitzpatrick C, Vane D, Bansal S, Rice M, Chatoorgoon K
Puckett Y, Greenspon J, Fitzpatrick C, Vane D, Bansal S, Rice M, Chatoorgoon K
The objective of this study was to examine whether post-reduction admission to hospital is required in patients diagnosed with intussusception.
The objective of this study was to examine whether post-reduction admission to hospital is required in patients diagnosed with intussusception.
Key Study: Abdominal radiography is not necessary in children with intussusception
Tareen F, Mc Laughlin D, Cianci F, Hoare SM, Sweeney B, Mortell A, Puri P
Tareen F, Mc Laughlin D, Cianci F, Hoare SM, Sweeney B, Mortell A, Puri P
The aim of this study was to investigate the benefit of abdominal radiography in intussusception by determining diagnostic accuracy and analysing correlation of AR findings with outcome.
The aim of this study was to investigate the benefit of abdominal radiography in intussusception by determining diagnostic accuracy and analysing correlation of AR findings with outcome.
Key Study: Intussusception Rates Before and After the Introduction of Rotavirus Vaccine
Tate JE, Yen C, Steiner CA, Cortese MM, Parashar UD
Tate JE, Yen C, Steiner CA, Cortese MM, Parashar UD
This study examined trends in intussusception hospitalizations before (2000-2005) and after (2007-2013) rotavirus vaccine introduction to assess whether this observed temporal risk translates into more hospitalized cases at the population level.
This study examined trends in intussusception hospitalizations before (2000-2005) and after (2007-2013) rotavirus vaccine introduction to assess whether this observed temporal risk translates into more hospitalized cases at the population level.
Key Study: Clinical and Ultrasonographic Features of Secondary Intussusception in Children
Zhang Y, Dong Q, Li SX, Ren WD, Shi B, Bai YZ, Zhang SC, Zheng LQ
Zhang Y, Dong Q, Li SX, Ren WD, Shi B, Bai YZ, Zhang SC, Zheng LQ
The aim of this study was to review the ultrasonographic features of secondary intussusception (SI) in children and assess the value of ultrasound in the diagnosis of pediatric SI.
The aim of this study was to review the ultrasonographic features of secondary intussusception (SI) in children and assess the value of ultrasound in the diagnosis of pediatric SI.
Key Study: Fluoroscopy-guided hydrostatic reduction of intussusception in infancy: role of pharmacological premedication
Esposito, F, Ambrosio, C, De Fronzo, S, Panico, MR, D'Aprano, M, Giugliano, AM, Noviello, D, Oresta, P,
Esposito, F, Ambrosio, C, De Fronzo, S, Panico, MR, D'Aprano, M, Giugliano, A...
Objective: To verify the presence of a possible correlation between pharmacological premedication and the percentage of hydrostatic reduction of intussusception in paediatric patients.
Objective: To verify the presence of a possible correlation between pharmacological premedication and the percentage of hydrostatic reduction of intussusception in paediatric patients.
Key Study: Delayed repeat enemas are safe and cost-effective in the management of pediatric intussusception
Lautz TB, Thurm CW, Rothstein DH,
Lautz TB, Thurm CW, Rothstein DH,
Objective: To compare outcomes between delayed repeat enema (DRE) and immediate surgery (IS) in children with ileocolic intussusception who fail initial enema reduction.
Objective: To compare outcomes between delayed repeat enema (DRE) and immediate surgery (IS) in children with ileocolic intussusception who fail initial enema reduction.
Key Study: The Frequency of Postreduction Interventions After Successful Enema Reduction of Intussusception
Lessenich, EM, Kimia, AA, Mandeville, K, Li, J, Landschaft, A, Tsai, A, Bachur, RG,
Lessenich, EM, Kimia, AA, Mandeville, K, Li, J, Landschaft, A, Tsai, A, Bachu...
Objectives: To determine the frequency of postreduction, hospital-level interventions among children with successful reduction of ileocolic intussusception and identify factors that predict the need for such interventions.
Objectives: To determine the frequency of postreduction, hospital-level interventions among children with successful reduction of ileocolic intussusception and identify factors that predict the need for such interventions.
Key Study: Improving Quality and Efficiency for Intussusception Management After Successful Enema Reduction
Raval MV, Minneci PC, Deans KJ, Kurtovic KJ, Dietrich A, Bates DG, Rangel SJ, Moss RL, Kenney BD
Raval MV, Minneci PC, Deans KJ, Kurtovic KJ, Dietrich A, Bates DG, Rangel SJ,...
The purpose of this project was to implement a protocol facilitating discharge from the emergency department (ED) after successful radiologic ileocolic intussusception reduction in a pediatric referral centre.
The purpose of this project was to implement a protocol facilitating discharge from the emergency department (ED) after successful radiologic ileocolic intussusception reduction in a pediatric referral centre.
Key Study: Association between medication and intestinal intussusceptionin children: a case-crossover study
Vega Garca, L, Fuentes-Leonarte, V, Tenas, JM, Correcher Medina, P, Arias Arias, , Romn Ortiz, C
Vega Garca, L, Fuentes-Leonarte, V, Tenas, JM, Correcher Medina, P, Arias Ari...
Objective: To assess the association between the appearance of intussusception in children and medication intake in the immediately preceding period (2-15 days).
Objective: To assess the association between the appearance of intussusception in children and medication intake in the immediately preceding period (2-15 days).
Key Study: Childhood intussusception: 17-year experience at a tertiary referral centre in Hong Kong
Wong CW, Chan IH, Chung PH, Lan LC, Lam WM, Wong KK, Tam PK
Wong CW, Chan IH, Chung PH, Lan LC, Lam WM, Wong KK, Tam PK
Objective: To review all paediatric patients with intussusception over the last 17 years.
Objective: To review all paediatric patients with intussusception over the last 17 years.
Key Study: Comparative outcome analysis of the management of pediatric intussusception with or without surgical admission
Beres AL, Baird R, Fung E, Hsieh H, Abou-Khalil M, Ted Gerstle J,
Beres AL, Baird R, Fung E, Hsieh H, Abou-Khalil M, Ted Gerstle J,
Objective: To show that pediatric intussusception could be managed with discharge from the emergency department after successful reduction without increasing morbidity, potentially yielding significant health care cost savings.
Objective: To show that pediatric intussusception could be managed with discharge from the emergency department after successful reduction without increasing morbidity, potentially yielding significant health care cost savings.
Key Study: Intussusception revisited: is immediate on-site surgeon availability at the time of reduction necessary?
Nguyen HN, Kan JH, Guillerman RP, Cassady CI,
Nguyen HN, Kan JH, Guillerman RP, Cassady CI,
Objective: To assess the utilization of immediate surgical services at the time of radiologic intussusception reduction.
Objective: To assess the utilization of immediate surgical services at the time of radiologic intussusception reduction.
Key Study: Risk of intussusception after monovalent rotavirus vaccination
Weintraub ES, Baggs J, Duffy J, Vellozzi C, Belongia EA, Irving S, Klein NP, Glanz JM, Jacobsen SJ, Naleway A, Jackson LA, DeStefano F,
Weintraub ES, Baggs J, Duffy J, Vellozzi C, Belongia EA, Irving S, Klein NP, ...
This study examines the possiblilty of a small increase in risk of intussusception after monovalent rotavirus vaccination in a population in the United States.
This study examines the possiblilty of a small increase in risk of intussusception after monovalent rotavirus vaccination in a population in the United States.
Key Study: Management of the child after enema-reduced intussusception: hospital or home?
Chien M, Willyerd FA, Mandeville K, Hostetler MA, Bulloch B,
Chien M, Willyerd FA, Mandeville K, Hostetler MA, Bulloch B,
Objectives: To determine the rate and timing of recurrent intussusception after successful enema reduction and describe any associated complications.
Objectives: To determine the rate and timing of recurrent intussusception after successful enema reduction and describe any associated complications.
Key Study: Antibiotics administration before enema reduction of intussusception: is it necessary?
Al-Tokhais T, Hsieh H, Pemberton J, Elnahas A, Puligandla P, Flageole H,
Al-Tokhais T, Hsieh H, Pemberton J, Elnahas A, Puligandla P, Flageole H,
Objective: To determine whether using antibiotics before reduction provided any improvement in outcomes.
Objective: To determine whether using antibiotics before reduction provided any improvement in outcomes.
Key Study: Intussusception: clinical presentations and imaging characteristics
Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B,
Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B,
Objectives: To determine the prevalence of clinical findings associated with intussusception based on age and to evaluate the test characteristics of the presence of air in the ascending colon on abdominal radiographs and the effectiveness of ultrasound in diagnosing intussusception.
Objectives: To determine the prevalence of clinical findings associated with intussusception based on age and to evaluate the test characteristics of the presence of air in the ascending colon on abdominal radiographs and the effectiveness of ultrasound in diagnosing intussusception.
Key Study: Diagnosis of intussusception by physician novice sonographers in the emergency department
Riera A, Hsiao AL, Langhan ML, Goodman TR, Chen L,
Riera A, Hsiao AL, Langhan ML, Goodman TR, Chen L,
This study investigates the performance characteristics of bedside emergency department (ED) ultrasonography by nonradiologist physician sonographers in the diagnosis of ileocolic intussusception in children.
This study investigates the performance characteristics of bedside emergency department (ED) ultrasonography by nonradiologist physician sonographers in the diagnosis of ileocolic intussusception in children.
Key Study: Management of childhood intussusception after reduction by enema
Gilmore AW, Reed M, Tenenbein M,
Gilmore AW, Reed M, Tenenbein M,
This paper describes the utility of emergency department (ED)/outpatient management after enema reduction for childhood intussusception.
This paper describes the utility of emergency department (ED)/outpatient management after enema reduction for childhood intussusception.
Key Study: Risk stratification of children being evaluated for intussusception
Weihmiller SN, Buonomo C, Bachur R,
Weihmiller SN, Buonomo C, Bachur R,
Objectives: To determine predictive clinical criteria and develop a decision tree to risk-stratify children with possible intussusception.
Objectives: To determine predictive clinical criteria and develop a decision tree to risk-stratify children with possible intussusception.
Key Study: Enema-reduced intussusception management: is hospitalization necessary?
Herwig K, Brenkert T, Lose JD,
Herwig K, Brenkert T, Lose JD,
Objectives: To describe the demographic and clinical characteristics of hospitalized children with enema-reduced intussusception and to determine the necessity of hospitalization.
Objectives: To describe the demographic and clinical characteristics of hospitalized children with enema-reduced intussusception and to determine the necessity of hospitalization.
Key Study: The role of abdominal radiography in the diagnosis of intussusception when interpreted by pediatric emergency physicians
Morrison J, Lucas N, Gravel J,
Morrison J, Lucas N, Gravel J,
Objective: To evaluate the sensitivity and specificity of abdominal x-rays in the diagnosis of intussusception when interpreted by pediatric emergency physicians.
Objective: To evaluate the sensitivity and specificity of abdominal x-rays in the diagnosis of intussusception when interpreted by pediatric emergency physicians.
Key Study: Sonography of pediatric small-bowel intussusception: differentiating surgical from nonsurgical cases
Munden MM, Bruzzi JF, Coley BD, Munden RF,
Munden MM, Bruzzi JF, Coley BD, Munden RF,
Objective: To determine whether there are clinical or sonographic findings that can be used to differentiate benign self-limited small-bowel intussusception from pathologic small-bowel intussusception that necessitates surgical intervention.
Objective: To determine whether there are clinical or sonographic findings that can be used to differentiate benign self-limited small-bowel intussusception from pathologic small-bowel intussusception that necessitates surgical intervention.
Key Study: Childhood intussusception: a comparative study of nonsurgical management
Hadidi AT, El Shal N,
Hadidi AT, El Shal N,
Objectives: To compare air reduction, barium reduction under fluoroscopy, and saline reduction under ultrasound guidance for diagnosis and treatment of intussusception involved in 147 patients.
Objectives: To compare air reduction, barium reduction under fluoroscopy, and saline reduction under ultrasound guidance for diagnosis and treatment of intussusception involved in 147 patients.
Key Study: Patterns of recurrence of intussusception in children: a 17-year review
Daneman A, Alton DJ, Lobo E, Gravett J, Kim P, Ein SH,
Daneman A, Alton DJ, Lobo E, Gravett J, Kim P, Ein SH,
Objectives: To determine whether changes in management have affected the rate and patterns of recurrence as well as long-term outcome in children with multiple recurrences.
Objectives: To determine whether changes in management have affected the rate and patterns of recurrence as well as long-term outcome in children with multiple recurrences.
Key Study: The role of dexamethasone in decreasing early recurrence of acute intussusception in children: A retrospective study
Efrati Y, Klin B, Kozer E, Abu-Kishk I
Efrati Y, Klin B, Kozer E, Abu-Kishk I
The purpose of this study was to examine the role of dexamethasone in decreasing early RI.
The purpose of this study was to examine the role of dexamethasone in decreasing early RI.
Key Study: Success rate of pneumatic reduction of intussusception with and without sedation
Feldman O, Weiser G, Hanna M, Devir O, Balla U, Johnson DW, Kozer E, Shavit I
Feldman O, Weiser G, Hanna M, Devir O, Balla U, Johnson DW, Kozer E, Shavit I
The aim of this study was to evaluate the success rate of pneumatic reduction of intussusception with and without sedation.
The aim of this study was to evaluate the success rate of pneumatic reduction of intussusception with and without sedation.
Key Study: Assessing the risk of intussusception and rotavirus vaccine safety in Canada
Hawken S, Ducharme R, Rosella LC, Benchimol EI, Langley JM, Wilson K, Crowcroft NS, Halperin SA, Desai S, Naus M, Sanford CJ, Mahmud SM, Deeks SL
Hawken S, Ducharme R, Rosella LC, Benchimol EI, Langley JM, Wilson K, Crowcro...
Objective: To determine the incidence of intussusception among infants in Canada both before and adter introduction of rotavirus immunization programs.
Objective: To determine the incidence of intussusception among infants in Canada both before and adter introduction of rotavirus immunization programs.
Key Study: Risk factors associated with intestinal necrosis in children with failed non-surgical reduction for intussusception
Huang HY, Huang XZ, Han YJ, Zhu LB, Huang KY, Lin J, Li ZR
Huang HY, Huang XZ, Han YJ, Zhu LB, Huang KY, Lin J, Li ZR
Objective: This study aimed to investigate the risk factors associated with intestinal necrosis in pediatric patients with failed non-surgical reduction for intussusception.
Objective: This study aimed to investigate the risk factors associated with intestinal necrosis in pediatric patients with failed non-surgical reduction for intussusception.
Key Study: Intussusception reduction: Effect of air vs. liquid enema on radiation dose
Kaplan SL, Magill D, Felice MA, Edgar JC, Anupindi SA, Zhu X
Kaplan SL, Magill D, Felice MA, Edgar JC, Anupindi SA, Zhu X
Objective: We test the hypothesis that air enema reduction of ileocolic intussusception results in lower radiation dose than liquid contrast enema independent of fluroscopy time. We describe a role for automatic exposure control in this dose difference.
Objective: We test the hypothesis that air enema reduction of ileocolic intussusception results in lower radiation dose than liquid contrast enema independent of fluroscopy time. We describe a role for automatic exposure control in this dose difference.
Key Study: Positive guaiac and bloody stool are poor predictors of intussusception
Kimia AA, Williams S, Hadar PN, Landschaft A, Porter J, Bachur RG
Kimia AA, Williams S, Hadar PN, Landschaft A, Porter J, Bachur RG
Objective: To assess the predictive value of GI bleeding (positive guaiac test, bloody stool and rectal bleeding) in evaluation of intussusception.
Objective: To assess the predictive value of GI bleeding (positive guaiac test, bloody stool and rectal bleeding) in evaluation of intussusception.
Key Study: A Practice Guideline for Postreduction Management of Intussusception of Children in the Emergency Department
Kwon H, Lee JH, Jeong JH, Yang HR, Kwak YH, Kim DK, Kim K
Kwon H, Lee JH, Jeong JH, Yang HR, Kwak YH, Kim DK, Kim K
Objective: The aim of this study was to evaluate the effects of a practice guideline of postreduction management of intussusception in children on the length of stay (LOS) from reduction in the pediatric emergency department (PED) and on the incidence of recurrence.
Objective: The aim of this study was to evaluate the effects of a practice guideline of postreduction management of intussusception in children on the length of stay (LOS) from reduction in the pediatric emergency department (PED) and on the incidence of recurrence.
Key Study: Is Intussusception a Middle-of-the-Night Emergency?
Lampl BS, Glaab J, Ayyala RS, Kanchi R, Ruzal-Shapiro CB
Lampl BS, Glaab J, Ayyala RS, Kanchi R, Ruzal-Shapiro CB
Objectives: Intussusception is the most common abdominal emergency in pediatric patients aged 6 months to 3 years. There is often a delay in diagnosis, as the presentation can be confused for viral gastroenteritis. Given this scenario, we questioned the practice of performing emergency reductions in children during the night when minimal support staff are available. Pneumatic reduction is not a benign procedure, with the most significant risk being bowel perforation. We performed this analysis to determine whether it would be safe to delay reduction in these patients until normal working hours when more support staff are available.
Objectives: Intussusception is the most common abdominal emergency in pediatric patients aged 6 months to 3 years. There is often a delay in diagnosis, as the presentation can be confused for viral gastroenteritis. Given this scenario, we questioned the practice of performing emergency reductions in children during the night when minimal support staff are available. Pneumatic reduction is not a benign procedure, with the most significant risk being bowel perforation. We performed this analysis to determine whether it would be safe to delay reduction in these patients until normal working hours when more support staff are available.
Key Study: Maternal smoking as a risk factor for childhood intussusception
Nakahara Y, Yorifuji T, Kubo T, Doi H
Nakahara Y, Yorifuji T, Kubo T, Doi H
Objective: The association between the risk of hospital admission for intussusception and maternal smoking was examined, using a nationwide population-based longitudinal survey begun in Japan in 2010.
Objective: The association between the risk of hospital admission for intussusception and maternal smoking was examined, using a nationwide population-based longitudinal survey begun in Japan in 2010.
Key Study: Age at presentation and management of pediatric intussusception: A Pediatric Health Information System database study
Savoie KB, Thomas F, Nouer SS, Langham MR Jr, Huang EY
Savoie KB, Thomas F, Nouer SS, Langham MR Jr, Huang EY
Objective: To determine whether older children are at greater risk of requiring operative intervention and/or having pathology causing lead points, such that enema reduction should not be attempted.
Objective: To determine whether older children are at greater risk of requiring operative intervention and/or having pathology causing lead points, such that enema reduction should not be attempted.
Key Study: Comparison of Lactic Acid Levels in Children with Suspected and Confirmed Intussusception
Tamas V, Ishimine P
Tamas V, Ishimine P
Objective: We present a case series comparing lactic acid levels in children with suspected and confirmed intussusception.
Objective: We present a case series comparing lactic acid levels in children with suspected and confirmed intussusception.
Key Study: Effects of esketamine sedation compared to morphine analgesia on hydrostatic reduction of intussusception: A case-cohort comparison study
van de Bunt JA, Veldhoen ES, Nievelstein RAJ, Hulsker CCC, Schouten ANJ, van Herwaarden MYA
van de Bunt JA, Veldhoen ES, Nievelstein RAJ, Hulsker CCC, Schouten ANJ, van ...
The aim of this study was to compare hydrostatic reduction using morphine analgesia compared to procedural sedation with eskatamine in terms of success rate, adverse events, and duration for reduction.
The aim of this study was to compare hydrostatic reduction using morphine analgesia compared to procedural sedation with eskatamine in terms of success rate, adverse events, and duration for reduction.
Key Study: Twenty years' experience for reduction of ileocolic intussusceptions by saline enema under sonography control
Flaum V, Schneider A, Gomes Ferreira C, Philippe P, Sebastia Sancho C, Lacreuse I, Moog R, Kauffmann I, Koob M, Christmann D, Douzal V, Lefebvre F, Becmeur F
Flaum V, Schneider A, Gomes Ferreira C, Philippe P, Sebastia Sancho C, Lacreu...
The purpose of this study was to present our 20 years' experience in intussusception reductions using saline enema under ultrasound control and to assess its efficiency and safety.
The purpose of this study was to present our 20 years' experience in intussusception reductions using saline enema under ultrasound control and to assess its efficiency and safety.
Key Study: Ultrasound-guided reduction of intussusception: a safe and effective method performed by pediatric surgeons
Gfroerer S, Fiegel H, Rolle U
Gfroerer S, Fiegel H, Rolle U
This retrospective study evaluates the efficacy and safety of ultrasound in diagnosis and treatment of intussusception performed solely by pediatric surgeons.
This retrospective study evaluates the efficacy and safety of ultrasound in diagnosis and treatment of intussusception performed solely by pediatric surgeons.
Key Study: Failed Intussusception Reduction in Children: Correlation Between Radiologic, Surgical, and Pathologic Findings
Ntoulia A, Tharakan SJ, Reid JR, Mahboubi S
Ntoulia A, Tharakan SJ, Reid JR, Mahboubi S
The objective of this study was to identify causes of irreducible intussusception after contrast enema and to correlate imaging findings with surgical and histopathological findings.
The objective of this study was to identify causes of irreducible intussusception after contrast enema and to correlate imaging findings with surgical and histopathological findings.
Key Study: Utility of hospital admission for pediatric intussusceptions
Puckett Y, Greenspon J, Fitzpatrick C, Vane D, Bansal S, Rice M, Chatoorgoon K
Puckett Y, Greenspon J, Fitzpatrick C, Vane D, Bansal S, Rice M, Chatoorgoon K
The objective of this study was to examine whether post-reduction admission to hospital is required in patients diagnosed with intussusception.
The objective of this study was to examine whether post-reduction admission to hospital is required in patients diagnosed with intussusception.
Key Study: Abdominal radiography is not necessary in children with intussusception
Tareen F, Mc Laughlin D, Cianci F, Hoare SM, Sweeney B, Mortell A, Puri P
Tareen F, Mc Laughlin D, Cianci F, Hoare SM, Sweeney B, Mortell A, Puri P
The aim of this study was to investigate the benefit of abdominal radiography in intussusception by determining diagnostic accuracy and analysing correlation of AR findings with outcome.
The aim of this study was to investigate the benefit of abdominal radiography in intussusception by determining diagnostic accuracy and analysing correlation of AR findings with outcome.
Key Study: Intussusception Rates Before and After the Introduction of Rotavirus Vaccine
Tate JE, Yen C, Steiner CA, Cortese MM, Parashar UD
Tate JE, Yen C, Steiner CA, Cortese MM, Parashar UD
This study examined trends in intussusception hospitalizations before (2000-2005) and after (2007-2013) rotavirus vaccine introduction to assess whether this observed temporal risk translates into more hospitalized cases at the population level.
This study examined trends in intussusception hospitalizations before (2000-2005) and after (2007-2013) rotavirus vaccine introduction to assess whether this observed temporal risk translates into more hospitalized cases at the population level.
Key Study: Clinical and Ultrasonographic Features of Secondary Intussusception in Children
Zhang Y, Dong Q, Li SX, Ren WD, Shi B, Bai YZ, Zhang SC, Zheng LQ
Zhang Y, Dong Q, Li SX, Ren WD, Shi B, Bai YZ, Zhang SC, Zheng LQ
The aim of this study was to review the ultrasonographic features of secondary intussusception (SI) in children and assess the value of ultrasound in the diagnosis of pediatric SI.
The aim of this study was to review the ultrasonographic features of secondary intussusception (SI) in children and assess the value of ultrasound in the diagnosis of pediatric SI.
Key Study: Fluoroscopy-guided hydrostatic reduction of intussusception in infancy: role of pharmacological premedication
Esposito, F, Ambrosio, C, De Fronzo, S, Panico, MR, D'Aprano, M, Giugliano, AM, Noviello, D, Oresta, P,
Esposito, F, Ambrosio, C, De Fronzo, S, Panico, MR, D'Aprano, M, Giugliano, A...
Objective: To verify the presence of a possible correlation between pharmacological premedication and the percentage of hydrostatic reduction of intussusception in paediatric patients.
Objective: To verify the presence of a possible correlation between pharmacological premedication and the percentage of hydrostatic reduction of intussusception in paediatric patients.
Key Study: Delayed repeat enemas are safe and cost-effective in the management of pediatric intussusception
Lautz TB, Thurm CW, Rothstein DH,
Lautz TB, Thurm CW, Rothstein DH,
Objective: To compare outcomes between delayed repeat enema (DRE) and immediate surgery (IS) in children with ileocolic intussusception who fail initial enema reduction.
Objective: To compare outcomes between delayed repeat enema (DRE) and immediate surgery (IS) in children with ileocolic intussusception who fail initial enema reduction.
Key Study: The Frequency of Postreduction Interventions After Successful Enema Reduction of Intussusception
Lessenich, EM, Kimia, AA, Mandeville, K, Li, J, Landschaft, A, Tsai, A, Bachur, RG,
Lessenich, EM, Kimia, AA, Mandeville, K, Li, J, Landschaft, A, Tsai, A, Bachu...
Objectives: To determine the frequency of postreduction, hospital-level interventions among children with successful reduction of ileocolic intussusception and identify factors that predict the need for such interventions.
Objectives: To determine the frequency of postreduction, hospital-level interventions among children with successful reduction of ileocolic intussusception and identify factors that predict the need for such interventions.
Key Study: Improving Quality and Efficiency for Intussusception Management After Successful Enema Reduction
Raval MV, Minneci PC, Deans KJ, Kurtovic KJ, Dietrich A, Bates DG, Rangel SJ, Moss RL, Kenney BD
Raval MV, Minneci PC, Deans KJ, Kurtovic KJ, Dietrich A, Bates DG, Rangel SJ,...
The purpose of this project was to implement a protocol facilitating discharge from the emergency department (ED) after successful radiologic ileocolic intussusception reduction in a pediatric referral centre.
The purpose of this project was to implement a protocol facilitating discharge from the emergency department (ED) after successful radiologic ileocolic intussusception reduction in a pediatric referral centre.
Key Study: Association between medication and intestinal intussusceptionin children: a case-crossover study
Vega Garca, L, Fuentes-Leonarte, V, Tenas, JM, Correcher Medina, P, Arias Arias, , Romn Ortiz, C
Vega Garca, L, Fuentes-Leonarte, V, Tenas, JM, Correcher Medina, P, Arias Ari...
Objective: To assess the association between the appearance of intussusception in children and medication intake in the immediately preceding period (2-15 days).
Objective: To assess the association between the appearance of intussusception in children and medication intake in the immediately preceding period (2-15 days).
Key Study: Childhood intussusception: 17-year experience at a tertiary referral centre in Hong Kong
Wong CW, Chan IH, Chung PH, Lan LC, Lam WM, Wong KK, Tam PK
Wong CW, Chan IH, Chung PH, Lan LC, Lam WM, Wong KK, Tam PK
Objective: To review all paediatric patients with intussusception over the last 17 years.
Objective: To review all paediatric patients with intussusception over the last 17 years.
Key Study: Comparative outcome analysis of the management of pediatric intussusception with or without surgical admission
Beres AL, Baird R, Fung E, Hsieh H, Abou-Khalil M, Ted Gerstle J,
Beres AL, Baird R, Fung E, Hsieh H, Abou-Khalil M, Ted Gerstle J,
Objective: To show that pediatric intussusception could be managed with discharge from the emergency department after successful reduction without increasing morbidity, potentially yielding significant health care cost savings.
Objective: To show that pediatric intussusception could be managed with discharge from the emergency department after successful reduction without increasing morbidity, potentially yielding significant health care cost savings.
Key Study: Intussusception revisited: is immediate on-site surgeon availability at the time of reduction necessary?
Nguyen HN, Kan JH, Guillerman RP, Cassady CI,
Nguyen HN, Kan JH, Guillerman RP, Cassady CI,
Objective: To assess the utilization of immediate surgical services at the time of radiologic intussusception reduction.
Objective: To assess the utilization of immediate surgical services at the time of radiologic intussusception reduction.
Key Study: Risk of intussusception after monovalent rotavirus vaccination
Weintraub ES, Baggs J, Duffy J, Vellozzi C, Belongia EA, Irving S, Klein NP, Glanz JM, Jacobsen SJ, Naleway A, Jackson LA, DeStefano F,
Weintraub ES, Baggs J, Duffy J, Vellozzi C, Belongia EA, Irving S, Klein NP, ...
This study examines the possiblilty of a small increase in risk of intussusception after monovalent rotavirus vaccination in a population in the United States.
This study examines the possiblilty of a small increase in risk of intussusception after monovalent rotavirus vaccination in a population in the United States.
Key Study: Management of the child after enema-reduced intussusception: hospital or home?
Chien M, Willyerd FA, Mandeville K, Hostetler MA, Bulloch B,
Chien M, Willyerd FA, Mandeville K, Hostetler MA, Bulloch B,
Objectives: To determine the rate and timing of recurrent intussusception after successful enema reduction and describe any associated complications.
Objectives: To determine the rate and timing of recurrent intussusception after successful enema reduction and describe any associated complications.
Key Study: Antibiotics administration before enema reduction of intussusception: is it necessary?
Al-Tokhais T, Hsieh H, Pemberton J, Elnahas A, Puligandla P, Flageole H,
Al-Tokhais T, Hsieh H, Pemberton J, Elnahas A, Puligandla P, Flageole H,
Objective: To determine whether using antibiotics before reduction provided any improvement in outcomes.
Objective: To determine whether using antibiotics before reduction provided any improvement in outcomes.
Key Study: Intussusception: clinical presentations and imaging characteristics
Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B,
Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B,
Objectives: To determine the prevalence of clinical findings associated with intussusception based on age and to evaluate the test characteristics of the presence of air in the ascending colon on abdominal radiographs and the effectiveness of ultrasound in diagnosing intussusception.
Objectives: To determine the prevalence of clinical findings associated with intussusception based on age and to evaluate the test characteristics of the presence of air in the ascending colon on abdominal radiographs and the effectiveness of ultrasound in diagnosing intussusception.
Key Study: Diagnosis of intussusception by physician novice sonographers in the emergency department
Riera A, Hsiao AL, Langhan ML, Goodman TR, Chen L,
Riera A, Hsiao AL, Langhan ML, Goodman TR, Chen L,
This study investigates the performance characteristics of bedside emergency department (ED) ultrasonography by nonradiologist physician sonographers in the diagnosis of ileocolic intussusception in children.
This study investigates the performance characteristics of bedside emergency department (ED) ultrasonography by nonradiologist physician sonographers in the diagnosis of ileocolic intussusception in children.
Key Study: Management of childhood intussusception after reduction by enema
Gilmore AW, Reed M, Tenenbein M,
Gilmore AW, Reed M, Tenenbein M,
This paper describes the utility of emergency department (ED)/outpatient management after enema reduction for childhood intussusception.
This paper describes the utility of emergency department (ED)/outpatient management after enema reduction for childhood intussusception.
Key Study: Risk stratification of children being evaluated for intussusception
Weihmiller SN, Buonomo C, Bachur R,
Weihmiller SN, Buonomo C, Bachur R,
Objectives: To determine predictive clinical criteria and develop a decision tree to risk-stratify children with possible intussusception.
Objectives: To determine predictive clinical criteria and develop a decision tree to risk-stratify children with possible intussusception.
Key Study: Enema-reduced intussusception management: is hospitalization necessary?
Herwig K, Brenkert T, Lose JD,
Herwig K, Brenkert T, Lose JD,
Objectives: To describe the demographic and clinical characteristics of hospitalized children with enema-reduced intussusception and to determine the necessity of hospitalization.
Objectives: To describe the demographic and clinical characteristics of hospitalized children with enema-reduced intussusception and to determine the necessity of hospitalization.
Key Study: The role of abdominal radiography in the diagnosis of intussusception when interpreted by pediatric emergency physicians
Morrison J, Lucas N, Gravel J,
Morrison J, Lucas N, Gravel J,
Objective: To evaluate the sensitivity and specificity of abdominal x-rays in the diagnosis of intussusception when interpreted by pediatric emergency physicians.
Objective: To evaluate the sensitivity and specificity of abdominal x-rays in the diagnosis of intussusception when interpreted by pediatric emergency physicians.
Key Study: Sonography of pediatric small-bowel intussusception: differentiating surgical from nonsurgical cases
Munden MM, Bruzzi JF, Coley BD, Munden RF,
Munden MM, Bruzzi JF, Coley BD, Munden RF,
Objective: To determine whether there are clinical or sonographic findings that can be used to differentiate benign self-limited small-bowel intussusception from pathologic small-bowel intussusception that necessitates surgical intervention.
Objective: To determine whether there are clinical or sonographic findings that can be used to differentiate benign self-limited small-bowel intussusception from pathologic small-bowel intussusception that necessitates surgical intervention.
Key Study: Childhood intussusception: a comparative study of nonsurgical management
Hadidi AT, El Shal N,
Hadidi AT, El Shal N,
Objectives: To compare air reduction, barium reduction under fluoroscopy, and saline reduction under ultrasound guidance for diagnosis and treatment of intussusception involved in 147 patients.
Objectives: To compare air reduction, barium reduction under fluoroscopy, and saline reduction under ultrasound guidance for diagnosis and treatment of intussusception involved in 147 patients.
Key Study: Patterns of recurrence of intussusception in children: a 17-year review
Daneman A, Alton DJ, Lobo E, Gravett J, Kim P, Ein SH,
Daneman A, Alton DJ, Lobo E, Gravett J, Kim P, Ein SH,
Objectives: To determine whether changes in management have affected the rate and patterns of recurrence as well as long-term outcome in children with multiple recurrences.
Objectives: To determine whether changes in management have affected the rate and patterns of recurrence as well as long-term outcome in children with multiple recurrences.