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Related Experiment Videos

[Invagination in children]

A Rydning1, J A Søreide, M Berget

  • 1Kirurgisk avdeling, Sentralsjukehuset i Rogaland, Stavanger.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|October 7, 1998
PubMed
Summary
This summary is machine-generated.

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Diagnosing childhood intussusception is challenging due to vague symptoms in infants. Barium enema is effective for non-operative reduction in most cases, with no major complications reported.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Context:

  • Childhood intussusception is a frequent cause of small bowel obstruction in infants.
  • Clinical signs and symptoms can be difficult to interpret in very young patients.
  • Accurate diagnosis by referring physicians is often delayed.

Purpose:

  • To evaluate the diagnostic challenges and treatment outcomes of childhood intussusception.
  • To assess the efficacy of barium enema reduction for intussusception.
  • To analyze complications associated with intussusception management.

Summary:

  • A retrospective study of 79 children (83 episodes) with intussusception found diagnostic accuracy by referring physicians was low (about one-third).
  • Non-operative treatment was attempted in 89% of cases, with barium enema reduction succeeding in 64%.

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  • Laparotomy was necessary in 42% of patients; no major complications or mortality occurred.
  • Impact:

    • Highlights the diagnostic difficulties in pediatric intussusception, emphasizing the need for improved clinical recognition.
    • Demonstrates the safety and effectiveness of barium enema as a primary treatment modality.
    • Provides valuable data for clinicians managing intussusception, informing treatment strategies and reducing unnecessary interventions.