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Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Colonoscopic reduction of pediatric ileocecal intussusception: a cross-sectional study comparing surgical and
Iraj Shahramian1, Pouya Ostadrahimi2, Mahboobeh Sheikh2
1Gastroenterohepatology Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Insights
Colonoscopic reduction is a safe and effective treatment for pediatric intussusception, with a lower failure rate than radiologic reduction. This non-surgical option is recommended for selected cases by experienced specialists.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Ileocolic intussusception is a common pediatric abdominal emergency.
- Effective reduction techniques are crucial for favorable outcomes.
Purpose of the Study:
- To compare the efficacy of colonoscopic reduction versus radiologic and surgical methods for intussusception.
- To evaluate the success and failure rates of different reduction techniques.
Main Methods:
- A cross-sectional study of children diagnosed with intussusception (up to 14 years).
- Patients were categorized into surgical, colonoscopic, and radiologic reduction groups.
- Outcomes were compared using SPSS 22 for data analysis.
Main Results:
- Radiologic reduction had a 5% failure rate (3/60 unsuccessful attempts).
- Colonoscopic reduction showed a 1.67% failure rate (1/60 unsuccessful attempt) in selected cases.
- All 17 surgically treated children recovered well.
Conclusions:
- Colonoscopic reduction achieved a 97.08% success rate with low recurrence.
- Colonoscopy is a feasible non-surgical option for selected ileocecal intussusception cases.
- Expertise and surgical backup are essential for successful colonoscopic reduction.
Introduction:
One of the most frequent abdominal crises in pediatrics under the age of three is ileocolic intussusception. The aim of this study was to compare the outcome of colonoscopic reduction with the other more common types of reduction (radiologic and surgical).
Methods:
The present study was a cross-sectional study including all children (up to 14 years) referred to the Amir-Al-Mominin Ali Hospital Zabol in the period from 2020 to 2024, with the final diagnosis of intestinal intussusception. The patients were divided into three groups: surgical, colonoscopic, and radiologic reduction, and the outcomes were compared. Using the program SPSS 22, the data were analyzed.
Results:
Out of 60 radiologic attempts for intussusception reduction, three attempts (5%) were unsuccessful, leading to surgery. On the other hand, one of 60 colonoscopic reduction attempts, which were performed on patients diagnosed as optimal cases for colonoscopic reduction based on their diagnostic ultrasonography, was not successful. All 17 children who underwent surgery recovered well.
Conclusions:
In the current study, the intussusception reduction success rate was 97.08%, and only four children experienced recurrence. The failure rate was around 5% in radiologic reduction and 1.67% in colonoscopic reduction. Our findings suggest that, in selected cases and in centers equipped with surgical backup, colonoscopy may be considered a feasible non-surgical option for ileocecal intussusception when performed by an experienced pediatric gastroenterologist in collaboration with a pediatric surgeon.
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