Aim: To delineate the factors associated with operative
reduction of intussusception, in contrast to enema reduction only without
surgical intervention, in children aged less than 14 years. Methods: We retrospectively
reviewed the records of all children aged <14 years who experienced
intussusception between 2002 and 2012 and were treated at a single hospital in
Qatar. Clinical outcomes were correlated with age, sex, clinical symptoms,
diagnosticand treatmentrelated characteristics, and length of hospital stay. Results: A total of 141 children were diagnosed and treated for intussusception
over 11 years. The male to female ratio of intussusception was 1.4:1. The
length of hospital stay was longer in patients who underwent operative
reduction than those that did not. Conclusion: Delay in presentation did not
decrease the success of radiologic reduction and did not increase the risk of
operative intervention and bowel resection.
References
[1]
Clarke Jr., E.J., Phillips, I.A. and Alexander, E.R. (1969) Adenovirus infection in intussusception in children in Taiwan. JAMA, 208, 1671-1674.
doi:10.1001/jama.1969.03160090031007
[2]
Nicolas, J.C., Ingrand, D., Fortier, B., et al. (1982) A one-year virological survey of acute intussusception in childhood. Journal of Medical Virology, 9, 267-271.
doi:10.1002/jmv.1890090404
[3]
Montgomery, E.A. and Popek, E.J. (1994) Intussusception, adenovirus, and children: A brief reaffirmation. Human Pathology, 25, 169-174.
doi:10.1016/0046-8177(94)90274-7
[4]
Hsu, H.Y., Kao, C.L., Huang, L.M., et al. (1998) Viral etiology of intussusception in Taiwanese childhood. The Pediatric Infectious Disease Journal, 17, 893-898.
doi:10.1097/00006454-199810000-00009
[5]
Bode, C.O. and Omilabu, S.A. (2002) Viral isolates of intussusception in Nigerian infants. South African Journal of Surgery, 40, 57-58.
[6]
Guarner, J., de Leon-Bojorge, B., Lopez-Corella, E., et al. (2003) Intestinal intussusception associated with adenovirus infection in Mexican children. American Journal of Clinical Pathology, 120, 845-850.
doi:10.1309/LBRNGF9MJW2MHT97
[7]
Selvaraj, G., Kirkwood, C., Bines, J., et al. (2006) Molecular epidemiology of adenovirus isolates from patients diagnosed with intussusception in Melbourne, Australia. Journal of Clinical Microbiology, 44, 3371-3373.
doi:10.1128/JCM.01289-06
[8]
Daneman, A. and Navarro, O. (2003) Intussusception part 1: A review of diagnostic approaches. Pediatric Radiology, 33, 79-85.
[9]
Robinson, C.G., Hernanz-Schulman, M., Zhu, Y., et al. (2004) Evaluation of anatomic changes in young children with natural rotavirus infection: Is intussusception biologically plausible? The Journal of Infectious Diseases, 189, 1382-1387. doi:10.1086/382655
[10]
Parasher, V.D., Holman, R.C. and Cummings, K.C. (2000) Trends in intussusceptions associated hospitalizations and deaths among US Infants. Pediatrics, 106, 1413-1421.
doi:10.1542/ peds.106.6.1413
[11]
Boudville, I.C., Phua, K.B., Quak, S.H., et al. (2006) The epidemiology of paediatric intussusception in Singapore: 1997 to 2004. ANNALS Academy of Medicine Singapore, 35, 674-679.
[12]
Jen, H.C. and Shew, S.B. (2009) The impact of hospital type and experience on the operative utilization in pediatric intussusception: A nationwide study. Journal of Pediatric Surgery, 44, 241-246.
doi:10.1016/j.jpedsurg.2008.10.050
[13]
Bratton, S.L., Haberkern, C.M., Waldhausen, J.H.T., et al. (2001) Intussusception: Hospital size and risk of surgery. Pediatrics, 107, 299-303.
doi:10.1542/peds.107.2.299
[14]
Nakagomi, T., Takahashi, Y., Arisawa, K., et al. (2006) A high incidence of intussusception in Japan as studied in a sentinel hospital over a 25-year period (1978-2002). Epidemiology & Infection, 134, 57-61.
doi:10.1017/S0950268805004644
[15]
Bhowmick, K., Kang, G., Bose, A., et al. (2009) Retrospective surveillance for intussusception in children aged less than five years in a South Indian tertiary-care hospital. Journal of Health, Population and Nutrition, 27, 660-665.
[16]
Murphy, T.V., Gargiullo, P.M., Massoudi, M.S., et al. (2001) Intussusception among infants given an oral rotavirus vaccine. The New England Journal of Medicine, 344, 564-572.
doi:10.1056/NEJM 200102223440804
[17]
Samad, L., Marven, S., El Bashir, H., et al. (2012) Prospective surveillance study of the management of intussusception in UK and Irish infants. British Journal of Surgery, 99, 411-415. doi:10.1002/ bjs.7821
[18]
Tate, J.E., Simonsen, L., Viboud, C., et al. (2008) Trends in intussusception hospitalizations among US infants, 1993-2004: Implications for monitoring the safety of the new rotavirus vaccination program. Pediatrics, 121, Article ID: e1125.
[19]
Somme, S., To, T. and Langer, J.C. (2006) Factors determining the need for operative reduction in children with intussusception: A population-based study. Journal of Pediatric Surgery, 41, 1014-1019.
doi:10.1016/j.jpedsurg.2005.12.047
[20]
Boudville, I.C., Phua, K.B., Quak, S.H., et al. (2006) The epidemiology of paediatric intussusception in Singapore: 1997 to 2004. ANNALS Academy of Medicine Singapore, 35, 674-679.
[21]
Le Masne, A., Lortat-Jacob, S. and Sayegh, N. (1999) Intussusception in infants and children: Feasibility of ambulatory management. European Journal of Pediatrics, 158, 707-710.
[22]
Daneman, A. and Navarro, O. (2004) Intussusception part 2: An update on the evolution of management. Pediatric Radiology, 34, 97-108.
[23]
Applegate, K.E. (2006) Intussusception in children: Diagnostic imaging and treatment. In: Blackmore, C.C. and Medina, S., Eds., Evidence-Based Imaging, Springer, New York, 475-492.
