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Care Pathway: Intussusception Care Pathway
SickKids
SickKids
The purpose of this pathway is to assist the health care team with clinical decisions regarding the management of a patient with intussusception.
The purpose of this pathway is to assist the health care team with clinical decisions regarding the management of a patient with intussusception.
Quick Glance: BMJ Best Practice: Intussusception
Sutcliffe J
Sutcliffe J
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.
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: Intussusception (2022)
Dr. Blake Bulloch and Dr. Zebulon Timmons
Dr. Blake Bulloch and Dr. Zebulon Timmons
Bottom line recommendations for the treatment of Intussusception. Published online January 2023.
Bottom line recommendations for the treatment of Intussusception. Published online January 2023.
Recommandations de base: Invagination Intestinale
Dr. Blake Bulloch and Dr. Zebulon Timmons
Dr. Blake Bulloch and Dr. Zebulon Timmons
French 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.
Clinical Practice Guideline: Japanese guidelines for the management of intussusception in children, 2011
Ito Y, Kusakawa I, Murata Y, Ukiyama E, Kawase H, Kamagata S, Ueno S, Osamura T, Kubo M, Yoshida M,
Ito Y, Kusakawa I, Murata Y, Ukiyama E, Kawase H, Kamagata S, Ueno S, Osamura...
This guideline aims to help clinicians promptly diagnose intussusception, initiate appropriate treatment as early as possible, and to protect intussuscepted children.
This guideline aims to help clinicians promptly diagnose intussusception, initiate appropriate treatment as early as possible, and to protect intussuscepted children.
Clinical Practice Guideline: Data Form: Appendix from article, "Risk of intussusception after monovalent rotavirus vaccination"
Weihmiller SN, Buonomo C, Bachur R,
Weihmiller SN, Buonomo C, Bachur R,
This checklist assists in the detection of intussusception risk following monovalent rotavirus vaccination.
This checklist assists in the detection of intussusception risk following monovalent rotavirus vaccination.
Clinical Practice Guideline: 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, et al.
Kwon H, Lee JH, Jeong JH, Yang HR, Kwak YH, Kim DK, et al.
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.
Clinical Practice Guideline: European Society for Paediatric Infectious Diseases consensus recommendations for rotavirus vaccination in Europe: update 2014
Vesikari T, Van Damme P, Giaquinto C, Dagan R, Guarino A, Szajewska H, Usonis V,
Vesikari T, Van Damme P, Giaquinto C, Dagan R, Guarino A, Szajewska H, Usonis...
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.
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.
Clinical Practice Guideline: Recommendations for the use of rotavirus vaccines in infants
Le Saux N, Canadian Paediatric Society
Le Saux N, Canadian Paediatric Society
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.
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.
Cochrane Summary: Management of intussusception in children
Gluckman S, Karpelowsky J, Webster AC, McGee RG
Gluckman S, Karpelowsky J, Webster AC, McGee RG
Objective: To assess the safety and effectiveness of non-surgical and surgical approaches in the management of intussusception in children.
Objective: To assess the safety and effectiveness of non-surgical and surgical approaches in the management of intussusception in children.
Evidence Summary: 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?
Cachat F, Ramseyer P,
Cachat F, Ramseyer P,
This summary examines the relationship between glucagon and the rate of radiological reduction for acute intestinal intussusception.
This summary examines the relationship between glucagon and the rate of radiological reduction for acute intestinal intussusception.
Evidence Summary: 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?
Raymond-Dufresne , Ghanayem H,
Raymond-Dufresne , Ghanayem H,
This summary investigates the diagnostic use of bedside ultrasound for paediatric intussusception in the emergency department.
This summary investigates the diagnostic use of bedside ultrasound for paediatric intussusception in the emergency department.
Evidence Summary: Best evidence topic reports. Bet 4. Role of plain abdominal radiograph in the diagnosis of intussusception
Broomfield D, Maconochie I,
Broomfield D, Maconochie I,
This summary investigates the role of plain abdominal radiograph in the diagnosis of intussusception
This summary investigates the role of plain abdominal radiograph in the diagnosis of intussusception
Evidence Summary: Clinically suspected intussusception in children: evidence based review and self-assessment module
Applegate KE,
Applegate KE,
This summary uses case examples to review the current evidence for the management of children with clinically suspected intussusception.
This summary uses case examples to review the current evidence for the management of children with clinically suspected intussusception.
Cochrane Summary: Vaccines for preventing rotavirus diarrhoea: vaccines in use
Soares-Weiser K, Maclehose H, Bergman H, Ben-Aharon I, Nagpal S, Goldberg E, Pitan F, Cunliffe N,
Soares-Weiser K, Maclehose H, Bergman H, Ben-Aharon I, Nagpal S, Goldberg E, ...
Objective: To evaluate rotavirus vaccines approved for use (RV1, RV5, and LLR) for preventing rotavirus diarrhoea.
Objective: To evaluate rotavirus vaccines approved for use (RV1, RV5, and LLR) for preventing rotavirus diarrhoea.
Systematic Review: Management for intussusception in children
Gluckman, S, Karpelowsky, J, Webster, AC & McGee RG
Gluckman, S, Karpelowsky, J, Webster, AC & McGee RG
Objective: To assess the safety and effectiveness of non-surgical and surgical approaches in the management of intussusception in children.
Objective: To assess the safety and effectiveness of non-surgical and surgical approaches in the management of intussusception in children.
Systematic Review: Comparative Effectiveness of Imaging Modalities for the Diagnosis and Treatment of Intussusception: A Critically Appraised Topic
Carroll AG, Kavanagh RG, Ni Leidhin C, Cullinan NM, Lavelle LP, Malone DE
Carroll AG, Kavanagh RG, Ni Leidhin C, Cullinan NM, Lavelle LP, Malone DE
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 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.
Systematic Review: Comparison of safety and efficacy of image-guided enema reduction techniques for paediatric intussusception: A review of the literature
Chew R, Ditchfield M, Paul E, Goergen SK
Chew R, Ditchfield M, Paul E, Goergen SK
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.
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.
Systematic Review: Risk of intussusception following rotavirus vaccination: An evidence based meta-analysis of cohort and case-control studies
Kassim P, Eslick GD
Kassim P, Eslick GD
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.
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.
Systematic Review: Risk of Intussusception After Rotavirus Vaccination
Koch J, Harder T, von Kries R, Wichmann O
Koch J, Harder T, von Kries R, Wichmann O
This study reviewed the literature for self-controlled case series studies on the risk of intussusception after RV vaccination.
This study reviewed the literature for self-controlled case series studies on the risk of intussusception after RV vaccination.
Systematic Review: What Measures Improve Reduction of Intussusception in Pediatric Patients?
Long B, April MD
Long B, April MD
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.
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.
Systematic Review: Systematic review shows that pathological lead points are important and frequent in intussusception and are not limited to infants
Fiegel H, Gfroerer S, Rolle U
Fiegel H, Gfroerer S, Rolle U
A systematic literature review was performed from 1998 to 2016 to evaluate the incidence and types of pathalogical lead points in paediatric intussusception.
A systematic literature review was performed from 1998 to 2016 to evaluate the incidence and types of pathalogical lead points in paediatric intussusception.
Systematic Review: Meta-analysis of Air Versus Liquid Enema for Intussusception Reduction in Children
Sadigh G, Zou KH, Razavi SA, Khan R, Applegate KE
Sadigh G, Zou KH, Razavi SA, Khan R, Applegate KE
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.
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.
Systematic Review: Recurrence rates after intussusception enema reduction: a meta-analysis
Gray MP, Li SH, Hoffmann RG, Gorelick MH,
Gray MP, Li SH, Hoffmann RG, Gorelick MH,
Objective: To conduct a systematic review and meta-analysis to estimate overall, 24-hour, and 48-hour recurrence rates after enema reduction 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.
Systematic Review: An institutional analysis and systematic review with meta-analysis of pneumatic versus hydrostatic reduction for pediatric intussusception
Beres AL, Baird R,
Beres AL, Baird R,
This paper conducts a review and a critical appraisal to find the optimal intussusception reduction technique to maximize success while minimizing morbidity.
This paper conducts a review and a critical appraisal to find the optimal intussusception reduction technique to maximize success while minimizing morbidity.
Comparative Effectiveness Review: Intussusception in children: cost-effectiveness of ultrasound vs diagnostic contrast enema
Bucher BT, Hall BL, Warner BW, Keller MS,
Bucher BT, Hall BL, Warner BW, Keller MS,
Objective: To compare the cost-effectiveness of different imaging strategies for the diagnosis of pediatric intussusception using a decision analytic model.
Objective: To compare the cost-effectiveness of different imaging strategies for the diagnosis of pediatric intussusception using a decision analytic model.
Systematic Review: Management of intussusception in children: A systematic review.
Kelley-Quon LI, Arthur LG, Williams RF, Goldin AB, St Peter SD, et al
Kelley-Quon LI, Arthur LG, Williams RF, Goldin AB, St Peter SD, et al
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: 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.
Systematic Review: Predictors of failed enema reduction in children with intussusception: a systematic review and meta-analysis.
Kim PH, Hwang J, Yoon HM, Lee JY, Jung AY, Lee JS, et al
Kim PH, Hwang J, Yoon HM, Lee JY, Jung AY, Lee JS, et al
Objective: To identify predictors of failed enema reduction in children with intussusception.
Objective: To identify predictors of failed enema reduction in children with intussusception.
Systematic Review: Diagnostic Accuracy of Point-of-Care Ultrasound for Intussusception in Children Presenting to the Emergency Department: A Systematic Review and Meta-analysis
Lin-Martore M, Kornblith AE, Kohn MA, Gottlieb M.
Lin-Martore M, Kornblith AE, Kohn MA, Gottlieb M.
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: 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).
Systematic Review: Accuracy of point-of-care ultrasound and radiology-performed ultrasound for intussusception: A systematic review and meta-analysis.
Tsou PY, Wang YH, Ma YK, Deanehan JK, Gillon J, Chou EH, et al
Tsou PY, Wang YH, Ma YK, Deanehan JK, Gillon J, Chou EH, et al
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.
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.
Systematic Review: Inpatient Admission versus Emergency Department Management of Intussusception in Children: A Systemic Review and Meta-Analysis of Outcomes.
Amuddhu SK, Chen Y, Nah SA.
Amuddhu SK, Chen Y, Nah SA.
We performed a systematic review and meta-analysis to compare recurrence rates and length of hospital stay between the groups.
We performed a systematic review and meta-analysis to compare recurrence rates and length of hospital stay between the groups.
Systematic Review: Postoperative intussusceptions in children and infants: a systematic review
Yang G, Wang X, Jiang W, Ma J, Zhao J, Liu W,
Yang G, Wang X, Jiang W, Ma J, Zhao J, Liu W,
Objective: To evaluate the clinical features of postoperative intussusception through a literature review.
Objective: To evaluate the clinical features of postoperative intussusception through a literature review.
Cochrane Systematic Review: Vaccines for preventing rotavirus diarrhoea: vaccines in use
Soares-Weiser K, Maclehose H, Bergman H, Ben-Aharon I, Nagpal S, Goldberg E, Pitan F, Cunliffe N,
Soares-Weiser K, Maclehose H, Bergman H, Ben-Aharon I, Nagpal S, Goldberg E, ...
Objective: To evaluate rotavirus vaccines approved for use (RV1, RV5, and LLR) for preventing rotavirus diarrhoea.
Objective: To evaluate rotavirus vaccines approved for use (RV1, RV5, and LLR) for preventing rotavirus diarrhoea.
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: 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: 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: 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: 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: 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: A randomized trial of pneumatic reduction versus hydrostatic reduction for intussusception in pediatric patients.
Xie X, Wu Y, Wang Q, Zhao Y, Chen G, Xiang B.
Xie X, Wu Y, Wang Q, Zhao Y, Chen G, Xiang B.
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.
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.
Key Study: Diagnostic Accuracy of Point-Of-Care Ultrasound for Intussusception Performed by Pediatric Emergency Medicine Physicians.
Arroyo AC, Zerzan J, Vazquez H, Dickman E, Likourezos A, Hossain R, et al
Arroyo AC, Zerzan J, Vazquez H, Dickman E, Likourezos A, Hossain R, et al
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: 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.
Key Study: Evaluation of bedside sonography performed by emergency physicians to detect intussusception in children in the emergency department.
Tonson la Tour A, Desjardins MP, Gravel J.
Tonson la Tour A, Desjardins MP, Gravel J.
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).
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).
Key Study: Emergency department discharge following successful radiologic reduction of ileocolic intussusception in children: A protocol based prospective observational study.
Sujka JA, Dalton B, Gonzalez K, Tarantino C, Schroeder L, Giovanni J, et al
Sujka JA, Dalton B, Gonzalez K, Tarantino C, Schroeder L, Giovanni J, et al
The purpose of our study was to document the results of emergency department (ED) observation and discharge protocol after successful reduction of ileocolic intussusception.
The purpose of our study was to document the results of emergency department (ED) observation and discharge protocol after successful reduction of ileocolic intussusception.
Key Study: Fever as a Presenting Symptom in Children Evaluated for Ileocolic Intussusception: The Experience of a Large Tertiary Care Pediatric Hospital.
Levinson H, Rimon A, Scolnik D, Amarilyio G, Glatstein M
Levinson H, Rimon A, Scolnik D, Amarilyio G, Glatstein M
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.
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.
Key Study: Lactic acid level as an outcome predictor in pediatric patients with intussusception in the emergency department.
Lee JY, Byun YH, Park JS, Lee JS, Ryu JM, Choi SJ.
Lee JY, Byun YH, Park JS, Lee JS, Ryu JM, Choi SJ.
We aimed to determine whether lactic acid levels are associated with pediatric intussusception outcomes.
We aimed to determine whether lactic acid levels are associated with pediatric intussusception outcomes.
Key Study: Management of Intussusception in the Pediatric Emergency Department: Risk Factors for Recurrence.
Vo A, Levin TL, Taragin B, Khine H.
Vo A, Levin TL, Taragin B, Khine H.
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.
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.
Key Study: Pediatric Emergency Medicine Point-of-Care Ultrasound for the Diagnosis of Intussusception.
Trigylidas TE, Hegenbarth MA, Patel L, Kennedy C, O'Rourke K, Kelly JC.
Trigylidas TE, Hegenbarth MA, Patel L, Kennedy C, O'Rourke K, Kelly JC.
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.
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.
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: 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: 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).