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Practice variation in the management of pediatric intussusception: a narrative review

Itai Shavit1,2, Nitai Levy3, Yael Dreznik4

  • 1Division of Pediatrics, Hadassah Medical Center, Ein Kerem, P.O.B. 12000, 9112001, Jerusalem, Israel. i.shavit01@gmail.com.

European Journal of Pediatrics
|September 12, 2024
PubMed

Insights

Ileocolic intussusception management varies significantly in pediatric care. This review highlights six key areas of practice variation, emphasizing the need for standardized protocols to improve outcomes for children.

Area of Science:

  • Pediatric Gastroenterology and Surgery
  • Acute Intestinal Obstruction Management

Background:

  • Ileocolic intussusception requires prompt diagnosis and multidisciplinary care.
  • Prior studies indicated variability in pain management and sedation for these pediatric patients.

Purpose of the Study:

  • To explore variations in diagnostic and treatment pathways for ileocolic intussusception.
  • Identify specific areas of practice variability in managing this condition.

Main Methods:

  • Conducted a narrative literature review of peer-reviewed articles (2004-2024).
  • Searched multiple electronic databases and Google Scholar using comprehensive keywords.
  • Data analyzed by a multidisciplinary team of pediatric specialists.

Main Results:

  • Identified six key areas of practice variation in ileocolic intussusception management.
  • Variations include pain management, point-of-care ultrasound use, reduction techniques (pneumatic vs. hydrostatic), sedation during reduction, post-reduction observation, and surgical approach for unsuccessful reductions.

Conclusions:

  • Significant practice variations exist in ileocolic intussusception care.
  • Further research and standardization of care are needed to enhance treatment for affected children.

Keywords:
Emergency departmentPneumatic reductionPractice variation

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