کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4157495 1273794 2010 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Failure of enema reduction for ileocolic intussusception at a referring hospital does not preclude repeat attempts at a children's hospital
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Failure of enema reduction for ileocolic intussusception at a referring hospital does not preclude repeat attempts at a children's hospital
چکیده انگلیسی

BackgroundSome children with intussusception undergo attempted enema reduction at a hospital without pediatric radiology expertise and are transferred to a children's hospital (CH) if this is unsuccessful. We sought to determine whether a failed reduction (FR) at a referring hospital predicted failure of repeated attempts by a pediatric radiologist at a CH.MethodsA retrospective review of all children with ileocolic intussusception admitted to a large CH over 9 years was performed. Differences in outcome between those who initially presented to the CH and those who had a FR elsewhere before transfer (FR → CH) were assessed.ResultsA total of 152 subjects were identified. There was no difference in the frequency of successful enema reduction at the CH for those who initially presented at the CH (60.5%) and those who were transferred after a FR elsewhere (60.7%). The only predictor of successful reduction was anatomy, whereby 64% of intussusceptions proximal to the splenic flexure were reduced, but only 35% of those distal to that point (P < .01).ConclusionsChildren who are transferred to a CH after failed enema reduction elsewhere should undergo a repeat hydrostatic or pneumatic enema reduction in the absence of other contraindications.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 45, Issue 6, June 2010, Pages 1178–1181
نویسندگان
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