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Epidemiology, clinical characteristics, and treatment of children with acute intussusception: a case series

Yan Li1, Qi Zhou2, Chao Liu2

  • 1Department of Scientific Research, Cheeloo College of Medicine, Qilu Hospital, Shandong University, Qingdao, China.

BMC Pediatrics
|March 30, 2023
PubMed

Insights

Pediatric acute intussusception is common, often presenting atypically with abdominal pain. Air enema reduction is effective, but a high recurrence rate necessitates further study.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Acute intussusception is a common pediatric surgical emergency.
  • Etiology is often unclear, with some cases linked to infections or diet.

Purpose of the Study:

  • To summarize clinical and epidemiological characteristics of pediatric acute intussusception.
  • To evaluate treatment outcomes and recurrence rates.

Main Methods:

  • Retrospective study of 402 pediatric patients with acute intussusception.
  • Data collected on demographics, clinical presentation, and treatment outcomes.

Main Results:

  • Most common symptom was abdominal pain (84.1%); typical triad was rare (2.0%).
  • Air enema reduction was successful in 97.3% of cases; intravenous phloroglucinol in 91.4%.
  • Relapse rate was 16.8%.

Conclusions:

  • Pediatric acute intussusception is common with atypical presentations.
  • Air enema reduction is an effective treatment modality.
  • High recurrence rate observed, indicating need for further management strategies.
Abstract

Keywords:
Air enemaClinical manifestationsEpidemiologyIntussusceptionPhloroglucinol

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