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Application of Delayed Repeated Enema With Sedation in Pediatric Intussusception: A Single Center Retrospective Study

Qiulong Shen1, Dayong Wang1, Tingting Liu1

  • 1Department of Emergency Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No. 56 Nanlishi St, Xicheng District, Beijing 100045 China.

Journal of Pediatric Surgery
|July 9, 2024
PubMed

Insights

Delayed repeated air enema (DRE) with sedation is a safe and feasible method to improve pediatric intussusception reduction success rates. Left-sided intussusception is a key risk factor for DRE failure.

Area of Science:

  • Pediatric Gastroenterology
  • Interventional Radiology
  • Surgical Outcomes

Background:

  • Intussusception is a common pediatric surgical emergency.
  • Air enema reduction is a primary treatment modality.
  • Sedation during air enema may improve outcomes.

Purpose of the Study:

  • To evaluate the clinical application and effectiveness of delayed repeated air enema (DRE) with sedation for pediatric intussusception.
  • To identify risk factors associated with DRE failure.

Main Methods:

  • Retrospective analysis of 211 pediatric intussusception cases treated with DRE with sedation.
  • Comparison of patient demographics, clinical features, and surgical data between success and failure groups.
  • Logistic regression analysis to determine independent risk factors for DRE failure.

Main Results:

  • The success rate of DRE with sedation was 76.8% (162/211).
  • Overall air enema reduction success rate was 97.8%.
  • Factors associated with DRE failure included age ≤1 year, bloody stools, and left-sided intussusception; left-sided intussusception was an independent risk factor (OR=10.1).

Conclusions:

  • DRE with sedation is feasible and safe for treating pediatric intussusception.
  • This method enhances the overall success rate of air enema reduction.
  • Left-sided intussusception is a significant independent predictor of enema failure.
Abstract

Keywords:
Delayed repeated enemaIntussusceptionSedation

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