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Related Experiment Videos

Recurrent intussusception. Risks and features

A N Champoux1, M A Del Beccaro, V Nazar-Stewart

  • 1Department of Pediatrics, University of Washington, Seattle.

Archives of Pediatrics & Adolescent Medicine
|May 1, 1994
PubMed
Summary
This summary is machine-generated.

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Recurrent intussusception (RI) risk factors are not predictable by initial symptoms. Operative reduction of initial intussusception significantly lowers the risk of RI.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intussusception is a common cause of bowel obstruction in infants.
  • Recurrent intussusception (RI) presents unique challenges in diagnosis and management.

Purpose of the Study:

  • To identify risk factors for recurrent intussusception (RI).
  • To characterize the clinical features, timing, and complications associated with RI.

Main Methods:

  • Retrospective chart review of pediatric patients treated for intussusception between 1979 and 1990.
  • Comparison of patients with RI (cases) versus those with a single intussusception (controls).

Main Results:

  • No significant differences in initial presentation (age, sex, symptoms) between case and control groups.

Related Experiment Videos

  • Barium enema reduction of initial intussusception was associated with a significantly higher risk of RI (OR 13.50).
  • Operative reduction of initial intussusception was rarely followed by RI (1 of 33 episodes).
  • Recurrent episodes showed reduced lethargy and fewer instances of bloody stools compared to initial episodes, with shorter symptom duration.

    • Conclusions:

    • Presenting features and symptoms do not predict recurrent intussusception (RI).
    • Successful operative reduction for initial intussusception reduces the likelihood of RI.
    • Patients experiencing RI may present with less severe symptoms and shorter symptom duration.