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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Introduction
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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Related Experiment Video

Updated: Jun 18, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
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Ileocolic Intussusception: Iterative Quality Improvement to Address a Recurring Problem.

William Johnston1, Allison Mak Croughan2, Rosa Hwang2

  • 1Department of General, Thoracic, and Fetal Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

The Journal of Surgical Research
|August 3, 2024
PubMed
Summary

A quality improvement initiative for pediatric intussusception significantly increased emergency department discharges and reduced costs. This program streamlined care, improving patient experience and hospital efficiency.

Keywords:
Ileocolic intussusceptionPediatric surgeryQuality improvement

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Area of Science:

  • Pediatric Gastroenterology
  • Quality Improvement Science
  • Emergency Medicine

Background:

  • Pediatric ileocolic intussusception management has seen quality improvement (QI) initiatives.
  • Previous QI efforts demonstrated safe emergency department (ED) discharge after fluoroscopic reduction.
  • These initiatives enhance patient experience and reduce healthcare costs.

Purpose of the Study:

  • To develop and implement a QI initiative for pediatric ileocolic intussusception at an institution.
  • To incorporate patients transferred from a satellite campus into the QI pathway.
  • To iteratively improve the treatment pathway through continuous data reassessment.

Main Methods:

  • A multidisciplinary team was formed to create an open-access clinical pathway.
  • Educational plans were implemented for participating divisions.
  • Prospective data tracking and process adjustments were conducted, comparing pre- and post-initiative treatment.

Main Results:

  • The rate of ED discharge increased significantly from 2.6% to 59% (P < 0.001).
  • Mean time to hospital discharge decreased from 40.7 to 23.1 hours (P = 0.002).
  • Average visit cost decreased by 30% (P = 0.012), with no change in readmission rates.

Conclusions:

  • A serial data-driven QI program for fluoroscopically reduced intussusception was successfully implemented.
  • The protocol led to a reduced admission rate and overall hospital costs.
  • The initiative decreased the time to hospital discharge for pediatric patients.