Early recurrence of ileocolic intussusception after successful air enema reduction: incidence and predisposing factors

Emergency Radiology
Natalia SimanovskyNurith Hiller

Abstract

Early recurrent ileocolic intussusception (RICI) is a rare event. We aimed to estimate the rate of RICI and identify predisposing factors for early recurrence for children treated in a tertiary-care academic medical center. Consecutive children who were diagnosed with ileocolic intussusception (ICI) during the years 2005-2015 and had successful enema reduction were included. Demographic, clinical, imaging, and laboratory data were recorded for analysis. Ultrasound and fluoroscopy images were reviewed. Early RICI was defined as recurrence within 48 h. Two hundred forty-five episodes of intussusception in 210 patients, ages 2 to 77 months (mean 12.7), were included. Six patients (2.45%) had a RICI between 7 and 28 h (mean 17 h) after initial successful reduction. A total of 5/6 recurrences (83.3%) were in winter months. In the group without early recurrence, only 19.6% of the cases presented during the winter (p = 0.001). Mean age in the early recurrence group was 23 months compared to 12.4 months children with no early recurrence (p = 0.016). All other analyzed parameters were comparable for the groups. Early RICI is a relatively rare event that may not justify routine admission and long observation. The approach should be indiv...Continue Reading

References

Oct 1, 1975·Journal of Pediatric Surgery·S H Ein
Jan 1, 1992·Gastrointestinal Radiology·F MenorR Olague
May 1, 1994·Archives of Pediatrics & Adolescent Medicine·A N ChampouxV Nazar-Stewart
Jun 1, 1996·Journal of Pediatric Surgery·A FecteauF M Guttman
Jan 9, 1999·Pediatric Radiology·A DanemanS H Ein
Sep 15, 1999·European Journal of Pediatrics·A Le MasneG Cheron
Nov 25, 2003·Pediatric Radiology·Alan Daneman, Oscar Navarro
May 9, 2006·Journal of Pediatric Surgery·Ayman Al-JazaeriAndreana Bütter
Oct 29, 2010·The American Journal of Emergency Medicine·Andrea Wilkie GilmoreMilton Tenenbein
Nov 3, 2010·Journal of Pediatric Surgery·Rangsan NiramisAchariya Tongsin
Mar 26, 2011·Journal of Paediatrics and Child Health·Frances A JusticeJulie E Bines
May 5, 2012·The Journal of Emergency Medicine·Ming ChienBlake Bulloch
Jul 31, 2013·PloS One·James JiangManish M Patel
Apr 5, 2014·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·C SerayssolO Bouali
Jun 18, 2014·Pediatrics·Matthew P GrayMarc H Gorelick
Feb 22, 2017·Pediatric Emergency Care·Jung Heon KimWon Young Kim

❮ Previous
Next ❯

Citations

Oct 22, 2020·AJR. American Journal of Roentgenology·Domen PlutEdward Y Lee
Nov 8, 2020·Journal of Pediatric Surgery·Lorraine I Kelley-QuonAkemi Kawaguchi
Apr 27, 2021·Journal of Pediatric Surgery·Xiaoli ChenZhigang Gao

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved