Back to Search
Start Over
Routine Ultrasound Control after Successful Intussusception Reduction in Children: Is It Really Necessary?
- Source :
-
European Journal of Pediatric Surgery . 2021, Vol. 31 Issue 1, p115-119. 5p. - Publication Year :
- 2021
-
Abstract
- <bold>Introduction: </bold> Recurrence of ileocolic intussusception (ICI) has been related to residual bowel wall edema after enema reduction. Early oral tolerance has been associated with a higher risk of re-intussusception, so an imaging test (ultrasound) has traditionally been performed before restarting oral tolerance. Our aim is to analyze the cost-effectiveness of performing a routine ultrasound in patients who remain asymptomatic after successful enema reduction.<bold>Materials and Methods: </bold> A retrospective observational study was performed in patients with ICI who underwent a successful enema reduction between 2005 and 2019 and distributed in two groups according to whether or not a routine ultrasound was performed before restarting oral tolerance: group A (ultrasound) or B (no ultrasound). We analyzed demographic, clinical and laboratory variables, length of hospital stay, and recurrence rate.<bold>Results: </bold> We included 366 patients who presented 373 ICI episodes (165 in group A and 208 in group B), without significant differences in gender and age. Group A patients presented a higher percentage of vomiting and bloody stools than those in group B without differences in the other clinical features studied, time of evolution, or laboratory variables. Group A presented a higher length of hospital stay than group B (36 vs. 24 hours), although it was not statistically significant (p = 0.30). No statistically significant differences were observed in the recurrence rate between both groups (10.3% A vs. 10.8% B; p = 0.83).<bold>Conclusion: </bold> Performing routine ultrasound before restarting oral tolerance in asymptomatic patients after successful ICI reduction does not decrease the risk of re-intussusception and should not be routinely encouraged. [ABSTRACT FROM AUTHOR]
- Subjects :
- *INTESTINAL intussusception
*ENEMA
*LENGTH of stay in hospitals
*AGE differences
Subjects
Details
- Language :
- English
- ISSN :
- 09397248
- Volume :
- 31
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- European Journal of Pediatric Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 148452398
- Full Text :
- https://doi.org/10.1055/s-0040-1719055