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Related Experiment Videos

Intussusception: a 9-year survey (1986-1995)

G Eshel1, J Barr, E Heyman

  • 1Paediatric Division, Assaf Harofeh Medical Center, Zerifin, Israel.

Journal of Pediatric Gastroenterology and Nutrition
|March 1, 1997
PubMed
Summary

Acute intussusception presentation is similar globally, but incidence varies by ethnicity. This study found a lower incidence in the Arab population in Israel, possibly due to ethnic or genetic factors.

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Area of Science:

  • Pediatric Gastroenterology
  • Clinical Epidemiology
  • Cross-cultural Medical Research

Background:

  • Acute intussusception presents with diverse clinical features worldwide.
  • Understanding these variations across ethnic groups is crucial for accurate diagnosis and management.

Purpose of the Study:

  • To investigate the clinical presentation of acute intussusception.
  • To compare its incidence across different ethnic groups in Israel.

Main Methods:

  • Retrospective chart review of 90 patients over a 9-year period (1985-1995).
  • Data included demographics, symptoms, enema type, and reduction success rates.
  • Analysis of clinical presentation and incidence by ethnic origin (Jewish vs. Arab).

Main Results:

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  • The classic triad of screaming, lethargy, and vomiting occurred in 37.5% of cases.
  • Most patients (92.5%) were under one year old, with a mean age of 7.8 months.
  • Air enema was more effective than barium enema for non-surgical reduction (p < 0.01).
  • Incidence was similar in the Jewish population compared to other surveys, but twice as high as in the Arab population (p < 0.05).

Conclusions:

  • Clinical presentation of acute intussusception in Israel aligns with international findings.
  • Lower incidence in the Arab population may be attributed to ethnic, genetic, or nutritional factors.