کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4155215 1273739 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Operative indications in recurrent ileocolic intussusception
ترجمه فارسی عنوان
علائم عملکرد در مبتلایان به انسداد مجدد اولیه
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

BackgroundAir-contrast enema (ACE) is standard treatment for primary ileocolic intussusception. Management of recurrences is less clear. This study aimed to delineate appropriate therapy by quantifying the relationship between recurrence and need for bowel resection, pathologic lead points (PLP), and complication rates.MethodsAfter IRB approval, a single institution review of patients with ileocolic intussusception from 1997 to 2013 was performed, noting recurrences, outcomes, and complications. Fisher’s exact and t-tests were used.ResultsOf 716 intussusceptions, 666 were ileocecal. Forty-four underwent bowel resection, with 29 PLPs and 9 ischemia/perforation. Recurrence after ACE occurred in 96 (14%). Recurrence did not predict PLP (P = 0.25). Recurrence (≥ 3) was associated with higher resection rate (P = 0.03), but not ischemia/perforation (P = 0.75). ACE-related complications occurred in 4 (0.5%) patients. Successful initial ACE had 98% negative predictive value for resection and PLP (e.g., after successful ACE, 2% had resections, 2% PLP). After failed initial ACE, 36% received resection, and 23% had PLP (P < 0.001).ConclusionsRecurrence is associated with a greater risk of resection but not PLP or ACE-complication. Failed ACE is associated with increased risk for harboring PLP and receiving resection. ACE should be the standard treatment in recurrent intussusception, regardless of number of recurrences.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 50, Issue 1, January 2015, Pages 126–130
نویسندگان
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