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Clinical characteristics of pediatric intussusception and predictors of bowel resection in affected patients

Ting-Hsuan Wu1, Go-Shine Huang2, Chang-Teng Wu3

  • 1Department of Medical Education, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Frontiers in Surgery
|September 16, 2022
PubMed

Insights

Surgery for intussusception may require bowel resection. Predictors for resection in children include prolonged symptoms, long intussusception, pathological lead points, and intensive care unit admission.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Predictors

Background:

  • Intussusception often necessitates surgical intervention when non-surgical reduction fails or complications arise.
  • Identifying predictive factors for bowel resection is crucial for surgical planning in pediatric intussusception.

Purpose of the Study:

  • To evaluate clinical and laboratory parameters predicting the need for bowel resection in pediatric intussusception cases requiring surgery.

Main Methods:

  • Retrospective observational study of pediatric patients with intussusception.
  • Univariate and multivariate logistic regression analyses were employed to identify predictors of bowel resection.

Main Results:

  • Multivariate analysis identified several independent predictors for bowel resection.
  • These include symptom duration of at least 2 days (OR=6.863), long intussusception (OR=5.088), pathological lead point (OR=6.926), and intensive care unit admission (OR=11.777).

Conclusions:

  • Prolonged symptoms, long intussusception, pathological lead points, and ICU admission are significant predictors of bowel resection.
  • These findings aid in identifying high-risk pediatric patients who may require extensive surgical intervention for intussusception.
Abstract

Keywords:
bowel resectiongangrenehyponatremiaintussusceptionoperation

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