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Intussusception: trends in clinical presentation and management.
Frances A Justice1, Alex W Auldist, Julie E Bines
1Department of Gastroenterology and Clinical Nutrition, Royal Children's Hospital, Victoria, Australia.
Journal of Gastroenterology and Hepatology
|May 18, 2006
Summary
Intussusception hospitalization rates slightly increased, but air enema diagnosis and treatment remain highly effective for infants, reducing surgery needs and hospital stays.
Area of Science:
- Pediatric Gastroenterology
- Epidemiology
- Surgical Outcomes
Background:
- Rotavirus vaccine association with intussusception prompts renewed interest in its epidemiology.
- Understanding intussusception incidence, clinical presentation, and outcomes is crucial.
Purpose of the Study:
- To analyze the incidence, clinical presentation, diagnosis, treatment, and outcomes of intussusception.
- Compare current data with historical data from 1962-1968.
Main Methods:
- Retrospective chart review of intussusception patients at Royal Children's Hospital, Melbourne (1995-2001).
- Analysis of patient demographics, clinical features, diagnostic methods, and treatment outcomes.
- Comparison with historical data from 1962-1968.
Main Results:
- Hospitalization rate for idiopathic intussusception increased marginally from 0.19 to 0.27 per 1000 live births.
- Most affected patients were under 12 months; abdominal pain, lethargy, and vomiting were common symptoms.
- Air enema confirmed diagnosis in 97% and was successful in 82% of cases; factors like abdominal distension predicted surgery.
Conclusions:
- The hospitalization rate for primary idiopathic intussusception has slightly increased over 40 years.
- Air enema is a highly successful diagnostic and therapeutic tool for intussusception.
- Successful air enema treatment has reduced the need for surgery and shortened hospital stays.