Search

The purpose of this pathway is to assist the health care team with clinical decisions regarding the management of a patient with intussusception.

Objective: This review will focus on idiopathic intussusception in infants. Intussusception in older children and adults is rare and is almost always caused by a pathologic lead point.

Bottom line recommendations for the treatment of Intussusception. Published online January 2023.

French bottom line recommendations for the treatment of Intussusception. Published online January 2023. 

This guideline aims to help clinicians promptly diagnose intussusception, initiate appropriate treatment as early as possible, and to protect intussuscepted children.

This checklist assists in the detection of intussusception risk following monovalent rotavirus vaccination.

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.

This guideline aims to provide policy makers of European countries with the information and tools to assist in decision making on rotavirus vaccination policy with the new consensus recommendations.

These guidelines provide recommendations for the use of rotavirus vaccine for infants in Canada, and summarize information on the disease, epidemiology, as well as the safety and efficacy of vaccines currently authorized for the prevention of rotavirus disease in Canada.

Objective: To assess the safety and effectiveness of non-surgical and surgical approaches in the management of intussusception in children.

This summary examines the relationship between glucagon and the rate of radiological reduction for acute intestinal intussusception.

This summary investigates the diagnostic use of bedside ultrasound for paediatric intussusception in the emergency department.

This summary investigates the role of plain abdominal radiograph in the diagnosis of intussusception

This summary uses case examples to review the current evidence for the management of children with clinically suspected intussusception.

Objective: To evaluate rotavirus vaccines approved for use (RV1, RV5, and LLR) for preventing rotavirus diarrhoea.

Objective: To assess the safety and effectiveness of non-surgical and surgical approaches in the management of intussusception in children.

The purpose of this study was to critically appraise and compare the diagnostic performance of imaging modalities that are used for the diagnosis of intussusception and methods used in the treatment of ileocolic intussusception.

The aim of this study was to review the literature regarding the efficacy and safety of fluroscopically guided pneumatic reduction (FGPR) compared to ultrasound (US) guided intussusception reduction (USGIR) techniques for paediatric intussusception treatment.

A meta-analysis was performed to summarise available evidence and to give an overall risk of developing intussusception from case-control and cohort studies for all rotavirus vaccines that have been manufactured up to date.

This study reviewed the literature for self-controlled case series studies on the risk of intussusception after RV vaccination.

This study reviewed randomized clinical trials comparing contrast media, imaging modalities, pharmacologic adjuvants, protocols for delayed repeated enema, surgical approaches, or other curative techniques for intussusception management.

A systematic literature review was performed from 1998 to 2016 to evaluate the incidence and types of pathalogical lead points in paediatric intussusception.

The purpose of this study was to assess the effectiveness and safety of air versus liquid enema reduction in the treatment of intussusception in children.

Objective: To conduct a systematic review and meta-analysis to estimate overall, 24-hour, and 48-hour recurrence rates after enema reduction in children.

This paper conducts a review and a critical appraisal to find the optimal intussusception reduction technique to maximize success while minimizing morbidity.

Objective: To compare the cost-effectiveness of different imaging strategies for the diagnosis of pediatric intussusception using a decision analytic model.

Objective: The goal of this systematic review by the American Pediatric Surgical Association Outcomes and Evidence-Based Practice Committee was to develop recommendations for the management of ileocolic intussusception in children.

Objective: To identify predictors of failed enema reduction in children with intussusception.

Objective: The purpose of this systematic review and meta-analysis was to determine the diagnostic accuracy of POCUS for children with suspected ileocolic intussusception by emergency physicians (EP).

Objective: It is unclear whether point-of-care ultrasound (POCUS) by emergency medicine physicians is as accurate as radiology-performed ultrasound (RADUS). We aim to summarize the diagnostic accuracy of ultrasonography for intussusception and to compare the performance between POCUS and RADUS.

We performed a systematic review and meta-analysis to compare recurrence rates and length of hospital stay between the groups.

Objective: To evaluate the clinical features of postoperative intussusception through a literature review.

Objective: To evaluate rotavirus vaccines approved for use (RV1, RV5, and LLR) for preventing rotavirus diarrhoea.

The purpose of this study was to examine the role of dexamethasone in decreasing early RI.

The aim of this study was to evaluate the success rate of pneumatic reduction of intussusception with and without sedation.

Objective: To determine the incidence of intussusception among infants in Canada both before and adter introduction of rotavirus immunization programs.

Objective: This study aimed to investigate the risk factors associated with intestinal necrosis in pediatric patients with failed non-surgical reduction for intussusception.

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: To assess the predictive value of GI bleeding (positive guaiac test, bloody stool and rectal bleeding) in evaluation of intussusception.

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.

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.

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.

This retrospective study evaluates the efficacy and safety of ultrasound in diagnosis and treatment of intussusception performed solely by pediatric surgeons.

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 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.

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.

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.

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 compare outcomes between delayed repeat enema (DRE) and immediate surgery (IS) in children with ileocolic intussusception who fail initial enema reduction.

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.

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.

Objective: To review all paediatric patients with intussusception over the last 17 years.

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 assess the utilization of immediate surgical services at the time of radiologic intussusception reduction.

This study examines the possiblilty of a small increase in risk of intussusception after monovalent rotavirus vaccination in a population in the United States.

Objectives: To determine the rate and timing of recurrent intussusception after successful enema reduction and describe any associated complications.

Objective: To determine whether using antibiotics before reduction provided any improvement in outcomes.

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.

This paper describes the utility of emergency department (ED)/outpatient management after enema reduction for childhood intussusception.

Objectives: To determine predictive clinical criteria and develop a decision tree to risk-stratify children with possible intussusception.

Objectives: To describe the demographic and clinical characteristics of hospitalized children with enema-reduced intussusception and to determine the necessity of hospitalization.

Objective: To evaluate the sensitivity and specificity of abdominal x-rays in the diagnosis of intussusception when interpreted by pediatric emergency physicians.

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.

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 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: Data of randomly controlled trials comparing the hydrostatic and pneumatic reduction for intussusception in pediatric patients as initial therapy are lacking. The aim of this study was to conduct a randomly controlled trial to compare the effectiveness and safety of the hydrostatic and pneumatic reduction techniques.

Objective: Our objective was to determine the diagnostic accuracy of POCUS by novice sonographer pediatric emergency medicine physicians (PEM-Ps) who received focused US training for diagnosing INT.

Objective: The aim of our study was to evaluate the test characteristics of point-of-care ultrasound (POCUS) performed by emergency physicians with varying levels of experience among children having undergone diagnostic radiology ultrasound for intussusception in a pediatric emergency department (PED).

The purpose of our study was to document the results of emergency department (ED) observation and discharge protocol after successful reduction of ileocolic intussusception.

Objective: The objective of this study was to determine the prevalence of fever in patients with ileocolic intussusception and to determine its utility as a predictive symptom.

We aimed to determine whether lactic acid levels are associated with pediatric intussusception outcomes.

Our primary objective was to identify risk factors associated with early recurrence. Our secondary objectives included validating risk criteria from prior studies and identifying risk factors for ARE failures.

Objectives: The primary objective was to evaluate the accuracy of PEM POCUS in identifying ileocolic intussusception. The secondary objective was to identify factors associated with air enema failure.

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 objective of this study was to examine whether post-reduction admission to hospital is required in patients diagnosed with intussusception.

Objective: To assess the association between the appearance of intussusception in children and medication intake in the immediately preceding period (2-15 days).