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Management of ileocolic intussusception in the Czech Republic

N Polívka, L Poš, B Kučerová

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
    |September 1, 2021
    PubMed

    Insights

    Ileocolic intussusception treatment in the Czech Republic showed high success rates with contrast enema, particularly under general anesthesia. This study evaluated 162 pediatric cases from 2019, highlighting effective management strategies.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Radiology

    Background:

    • Ileocolic intussusception is a common cause of acute abdomen in young children.
    • Effective management is crucial for favorable outcomes.

    Purpose of the Study:

    • To evaluate the treatment modalities and outcomes of ileocolic intussusception in the Czech Republic.
    • To analyze the success rates of different interventions, including contrast enema and surgery.

    Main Methods:

    • A multicenter retrospective study involving 14 pediatric surgery departments.
    • Anonymous data collection via a SurveyMonkey questionnaire for 162 diagnosed cases in 2019.
    • Analysis of treatment approaches: contrast enema, primary surgery, and spontaneous reduction.

    Main Results:

    • Contrast enema was the primary intervention in 133 patients, with an overall success rate of 89.5%.
    • Contrast enema performed under general anesthesia (with or without myorelaxation) demonstrated a significantly higher success rate (95.6%) compared to sedation (55%).
    • Primary surgery was required in 14 patients.

    Conclusions:

    • Contrast enema is an effective treatment for ileocolic intussusception in pediatric patients.
    • General anesthesia enhances the success rate of contrast enema, suggesting its preference over sedation for this procedure.
    Abstract

    Keywords:
    Intussusceptionfeedingileocolicreduction

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