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Factors associated with surgical treatment in pediatric intussusception

Mehran Peyvasteh1, Shahnam Askarpour2, Mehdi Ghanavati1

  • 1Department of Pediatric Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Wiener Medizinische Wochenschrift (1946)
|July 27, 2022
PubMed

Insights

Older age, longer symptom duration, currant jelly stools, larger intussusception size, and free abdominal fluid are key indicators for surgical intervention in pediatric intussusception cases.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Diagnostics

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Identifying predictors for surgical treatment is crucial for timely intervention and improved outcomes.

Purpose of the Study:

  • To determine factors associated with the need for surgical intervention in pediatric intussusception.
  • To compare characteristics between surgically and non-surgically treated intussusception patients.

Main Methods:

  • Retrospective review of 106 pediatric intussusception cases from September 2019 to October 2020.
  • Comparison of patients who underwent surgery (12) versus non-surgical treatment (92).
  • Analysis of intussusception size, presence of free fluid, and stool characteristics.

Main Results:

  • Surgically treated patients were significantly older (p=0.01) and had longer symptom duration (p=0.033).
  • Larger intussusception size (p=0.042), currant jelly stool (p=0.004), and free peritoneal fluid (p=0.001) were more frequent in the surgical group.

Conclusions:

  • Factors predicting surgical treatment include age over 1 year, symptom duration exceeding 24 hours, currant jelly stool, intussusception size greater than 3.5 cm, and presence of free peritoneal fluid.
  • These findings aid in clinical decision-making for pediatric intussusception management.
Abstract

Keywords:
ChildCurrant jelly stoolIleumLeukocytosisSchoenlein-Henoch Purpura

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