Management of Pediatric Intussusception: Review of the Treatment Algorithm (Retrospective Study)

Basit Öğe Kaydı
dc.authorscopusid58669948200
dc.authorscopusid57191960544
dc.authorscopusid35236739700
dc.authorscopusid6701613383
dc.authorscopusid6603762840
dc.authorscopusid57196590497
dc.contributor.authorHasan, S.
dc.contributor.authorÇeltik, Ü.
dc.contributor.authorDivarci, E.
dc.contributor.authorErgün, O.
dc.contributor.authorÖzok, G.
dc.contributor.authorÇelik, A.
dc.date.accessioned2024-08-25T18:39:06Z
dc.date.available2024-08-25T18:39:06Z
dc.date.issued2023
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: In large series, the clinical features, management steps, and treatment results of intussusceptions have been studied. Material and Methods: Retrospective study including intussusception patients in a single center between 2008-2021. Results: There were 406 patients: 353 (86.9%) patients with ileocolic, 30 (7.4%) patients with small bowel, and 23 (5.7%) patients colocolic intussusception. In small bowel intussusceptions, 60% (18/30) of patients were treated surgically and in 40% (12/30) spontaneous reduction happened. Pathological lead points (PLPs) were found in 23.3% (7/30) of patients. In colocolic intussusception, the nonoperative reduction was used in 22/23 patients with a 90.9% success rate. The rate of PLPs was 4.3% (1/23). In ileocolic intussusception, spontaneous reduction happened in 18% (64/353) of cases. Nonoperative reduction was used as initial treatment in 272/353 patients with 79% (215/272) success rate and surgical management was used in 22.2% (78/353) of patients. The recurrence rate was 17.2% (61/353) with 85 attacks. Nonoperative reduction was used in 65/85 of attacks with 93% success rate. PLPs rate in different age groups was: 3.8% (0-2 years), 8% (2-5 years) and 17.4% (>5 years) (p value<0.001). In the patients who are >5 years old the frequency of Burkitt lymphoma was remarkable 10.8%. Conclusion: Although the first-line approach in small bowel intussusceptions is surgical exploration, the frequency of spontaneous reduction is high in cases with short segments (<4 cm). Nonoperative reduction should be the standard initial treatment for all age groups in ileocolic and colocolic intussusceptions. Management should be done carefully in patients who are >5 years old with ileocolic intussusceptions because of the high incidence of PLPs and Burkitt’s lymphoma. © 2023 by Türkiye Klinikleri.en_US
dc.identifier.doi10.5336/medsci.2022-95180
dc.identifier.endpage253en_US
dc.identifier.issn1300-0292
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85175170102en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage246en_US
dc.identifier.urihttps://doi.org/10.5336/medsci.2022-95180
dc.identifier.urihttps://hdl.handle.net/11454/101240
dc.identifier.volume43en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkiye Kliniklerien_US
dc.relation.ispartofTurkiye Klinikleri Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240825_Gen_US
dc.subjectacute abdomenen_US
dc.subjectBurkitt lymphomaen_US
dc.subjectIntussusceptionen_US
dc.subjectabdominal painen_US
dc.subjectabdominal radiographyen_US
dc.subjectadolescenten_US
dc.subjectanaphylactoid purpuraen_US
dc.subjectArticleen_US
dc.subjectBurkitt lymphomaen_US
dc.subjectchilden_US
dc.subjectclinical assessmenten_US
dc.subjectclinical featureen_US
dc.subjectcolon intussusceptionen_US
dc.subjectdiarrheaen_US
dc.subjectechographyen_US
dc.subjectfemaleen_US
dc.subjectfollow upen_US
dc.subjectgastric heterotopiaen_US
dc.subjecthamartomatous polyposisen_US
dc.subjecthematocheziaen_US
dc.subjectheterotopiaen_US
dc.subjecthospital admissionen_US
dc.subjecthumanen_US
dc.subjectileocolic intussusceptionen_US
dc.subjectinfanten_US
dc.subjectintestine ischemiaen_US
dc.subjectintestine perforationen_US
dc.subjectintussusceptionen_US
dc.subjectjejunal intussusceptionen_US
dc.subjectlymphadenopathyen_US
dc.subjectmajor clinical studyen_US
dc.subjectmaleen_US
dc.subjectMeckel diverticulumen_US
dc.subjectnausea and vomitingen_US
dc.subjectoutcome assessmenten_US
dc.subjectphysical examinationen_US
dc.subjectpolyarteritis nodosaen_US
dc.subjectretrospective studyen_US
dc.subjectsmall bowel intussusceptionen_US
dc.titleManagement of Pediatric Intussusception: Review of the Treatment Algorithm (Retrospective Study)en_US
dc.title.alternativePediatrik İnvajinasyon Yönetimi: Tedavi Algoritmasının Gözden Geçirilmesi (Retrospektif Çalışmaen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu