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Status survey on enema reduction of paediatric intussusception in China

Xiao Bing Tang1,2, Jia Yu Zhao1,2, Yu Zuo Bai1,3

  • 11 Department of Pediatric Surgery, Shengjing Hospital, China Medical University, Shenyang, China.

The Journal of International Medical Research
|December 18, 2018
PubMed

Insights

Paediatric intussusception treatment in China varies widely. Fluoroscopy-guided air enema reduction is common, but standardization of equipment and personnel is lacking for this common infant emergency.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Intussusception is a frequent pediatric surgical emergency in infants.
  • Enema reduction is the primary treatment for uncomplicated intussusception.
  • Understanding current national practices is crucial for improving care.

Purpose of the Study:

  • To survey the national practices for enema reduction of pediatric intussusception in China.
  • To identify variations in techniques, equipment, and personnel involved.

Main Methods:

  • A national questionnaire was distributed to pediatric specialists in China.
  • Data from 128 respondents were analyzed regarding enema reduction procedures.

Main Results:

  • Fluoroscopy (78.1%) and air enemas (78.9%) were the most frequently reported methods.
  • Success rates of 90% were reported by most participants.
  • Management involved pediatric surgeons, radiologists, or both, with significant variation.

Conclusions:

  • Significant variability exists in enema reduction techniques for intussusception in China.
  • Fluoroscopy-guided air enema is prevalent, yet standardization is lacking.
  • Improved standardization of equipment and personnel involvement is needed.
Abstract

Keywords:
ChinaIntussusceptionenema reductionfluoroscopypaediatricsurveyultrasound

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