PDF(Pubmed)
Abstract：
UNASSIGNED: Surgery remains the mainstay in treating intussusception in developing nations. A correspondingly high bowel resection rate exists despite a shift to nonoperative reduction in high-income countries. We aimed to study the clinical profile of the patients with intussusception presenting to our hospital and to assess the clinical and radiological predictors of success or failure of nonoperative management of intussusception.
UNASSIGNED: This prospective study was conducted in the Department of Pediatric Surgery over a period of 3 years and included a total of 118 patients who presenting to our emergency division with features suggestive of intussusception and were managed accordingly either with hydrostatic reduction or by surgical intervention.
UNASSIGNED: We observed that the majority of the patients were males (65.5%). The mean age was 13.54 months. Intermittent pain was the most common symptom. Both pain and vomiting did not affect the outcome. Lab parameters like raised total leukocyte counts (TLC), C-reactive protein (CRP) and lactate levels were significantly associated with failure of hydrostatic reduction. Patients with air fluid levels on X-ray were more likely to end up in surgery. Ultrasound findings of bowel wall edema, aperistaltic gut loops and a pathological lead point was associated with failure of hydrostatic reduction as well. The overall success rate of hydrostatic reduction was 85.5%.
UNASSIGNED: Hydrostatic reduction of intussusception is a safe and effective method of management of intussusception whenever indicated. Factors that might reduce the chance of its success include continuous pain, irritability, tenderness, deranged lab parameters like TLC, CRP and lactate levels, air fluid levels on X-ray, bowel wall edema, aperistalsis and the presence of a lead point.
UNASSIGNED: Shah JY, Banday I, Hamdani HZ, et al. A Study of Predictors of Failure of Nonoperative Management of Ileocolic Intussusception in Children. Euroasian J Hepato-Gastroenterol 2024;14(1):81-85.
UNASSIGNED: This prospective study was conducted in the Department of Pediatric Surgery over a period of 3 years and included a total of 118 patients who presenting to our emergency division with features suggestive of intussusception and were managed accordingly either with hydrostatic reduction or by surgical intervention.
UNASSIGNED: We observed that the majority of the patients were males (65.5%). The mean age was 13.54 months. Intermittent pain was the most common symptom. Both pain and vomiting did not affect the outcome. Lab parameters like raised total leukocyte counts (TLC), C-reactive protein (CRP) and lactate levels were significantly associated with failure of hydrostatic reduction. Patients with air fluid levels on X-ray were more likely to end up in surgery. Ultrasound findings of bowel wall edema, aperistaltic gut loops and a pathological lead point was associated with failure of hydrostatic reduction as well. The overall success rate of hydrostatic reduction was 85.5%.
UNASSIGNED: Hydrostatic reduction of intussusception is a safe and effective method of management of intussusception whenever indicated. Factors that might reduce the chance of its success include continuous pain, irritability, tenderness, deranged lab parameters like TLC, CRP and lactate levels, air fluid levels on X-ray, bowel wall edema, aperistalsis and the presence of a lead point.
UNASSIGNED: Shah JY, Banday I, Hamdani HZ, et al. A Study of Predictors of Failure of Nonoperative Management of Ileocolic Intussusception in Children. Euroasian J Hepato-Gastroenterol 2024;14(1):81-85.
摘要：
■在发展中国家，手术仍然是治疗肠套叠的主要手段。尽管在高收入国家转向非手术性减少，但仍存在相应的高肠切除率。我们旨在研究到我们医院就诊的肠套叠患者的临床特征，并评估肠套叠非手术治疗成功或失败的临床和放射学预测因素。
■这项前瞻性研究是在儿科外科进行的，为期3年，共纳入118例患者，这些患者出现在我们的急诊科，表现为肠套叠，并通过静水压减少或手术干预进行相应的治疗。
■我们观察到大多数患者是男性(65.5%)。平均年龄为13.54个月。间歇性疼痛是最常见的症状。疼痛和呕吐均不影响结果。实验室参数，如提高白细胞总数（TLC），C反应蛋白（CRP）和乳酸水平与静水还原失败显着相关。X射线上空气液体水平的患者更有可能最终接受手术。肠壁水肿的超声表现,食道肠环和病理性导点也与静水还原失败有关。静液还原的总体成功率为85.5%。
■静水压减少肠套叠是一种安全有效的肠套叠治疗方法。可能降低其成功机会的因素包括持续的疼痛，烦躁，压痛,混乱的实验室参数，如TLC，CRP和乳酸水平，X射线上的空气液位，肠壁水肿，食道和领先点的存在。
■ShahJY,BandayI,HamdaniHZ,etal.儿童肠套叠非手术治疗失败的预测因素研究。欧亚J肝胃肠病2024；14（1）：81-85。
■这项前瞻性研究是在儿科外科进行的，为期3年，共纳入118例患者，这些患者出现在我们的急诊科，表现为肠套叠，并通过静水压减少或手术干预进行相应的治疗。
■我们观察到大多数患者是男性(65.5%)。平均年龄为13.54个月。间歇性疼痛是最常见的症状。疼痛和呕吐均不影响结果。实验室参数，如提高白细胞总数（TLC），C反应蛋白（CRP）和乳酸水平与静水还原失败显着相关。X射线上空气液体水平的患者更有可能最终接受手术。肠壁水肿的超声表现,食道肠环和病理性导点也与静水还原失败有关。静液还原的总体成功率为85.5%。
■静水压减少肠套叠是一种安全有效的肠套叠治疗方法。可能降低其成功机会的因素包括持续的疼痛，烦躁，压痛,混乱的实验室参数，如TLC，CRP和乳酸水平，X射线上的空气液位，肠壁水肿，食道和领先点的存在。
■ShahJY,BandayI,HamdaniHZ,etal.儿童肠套叠非手术治疗失败的预测因素研究。欧亚J肝胃肠病2024；14（1）：81-85。
