Management of the child after enema-reduced intussusception: hospital or home?

The Journal of Emergency Medicine
Ming ChienBlake Bulloch

Abstract

Standard practice has been to admit children for an observation period after enema-reduced intussusception. However, the utility of such routine practice has not been clearly justified. The main objective was to determine the rate and timing of recurrent intussusception after successful enema reduction and describe any associated complications. The study was a retrospective chart review identifying children with enema-reduced intussusception during a 7-year period from 2002 through 2008. Subjects were children ages 0 to 17 years presenting to the Emergency Department (ED) of a tertiary care, free-standing children's hospital with confirmed and uncomplicated enema-reduced intussusception. During the study period there were 98 children with successful enema reduction of intussusception. There were 10 episodes of recurrence in 7 patients, for an overall recurrence rate of 7.1%. Three patients had two recurrences each, and the remainder had single recurrences. Two patients had early recurrences (<48 h) at 3 and 5 h, for an early recurrence rate of 2.0%. The late recurrence rate (>48 h) was 5.1%. No adverse events were noted in any of the recurrences. Given the low early recurrence rate for enema-reduced intussusception and the mini...Continue Reading

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Citations

Apr 5, 2014·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·C SerayssolO Bouali
Aug 7, 2013·Emergency Medicine Clinics of North America·Seema Shah
Aug 21, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Elisabeth M LessenichRichard G Bachur
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Oct 19, 2013·Clinical Pediatrics·Ailie LochheadSavithiri Ratnapalan
Jun 28, 2018·Acta chirurgica Belgica·Mustafa Okumus, Ali Emektar
Feb 22, 2017·Pediatric Emergency Care·Jung Heon KimWon Young Kim
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Nov 21, 2019·Pediatric Quality & Safety·Alexander V ChalphinCatherine Chen
Jun 6, 2013·Pediatric Emergency Care·Jordana J Haber, Muhammad Waseem
Mar 7, 2020·Journal of Indian Association of Pediatric Surgeons·Mir Fahiem-Ul-HassanSikandar Iqbal
Nov 8, 2020·Journal of Pediatric Surgery·Lorraine I Kelley-QuonAkemi Kawaguchi

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