Management of the child after enema-reduced intussusception: hospital or home?
@article{Chien2013ManagementOT, title={Management of the child after enema-reduced intussusception: hospital or home?}, author={Ming Chien and F. Anthony Willyerd and Katherine Mandeville and Mark A. Hostetler and Blake Bulloch}, journal={The Journal of emergency medicine}, year={2013}, volume={44 1}, pages={ 53-7 } }
34 Citations
The Frequency of Postreduction Interventions After Successful Enema Reduction of Intussusception.
- MedicineAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine
- 2015
Clinical decompensation is rare and recurrence is relatively low after an uncomplicated reduction of ileocolic intussusception, however, one in five children required hospital-level interventions after reduction.
Early recurrence of ileocolic intussusception after successful air enema reduction: incidence and predisposing factors
- MedicineEmergency Radiology
- 2018
Early RICI is a relatively rare event that may not justify routine admission and long observation and the approach should be individual, based on the clinical picture.
Comparative outcome analysis of the management of pediatric intussusception with or without surgical admission.
- MedicineJournal of pediatric surgery
- 2014
Emergency department discharge following successful radiologic reduction of ileocolic intussusception in children: A protocol based prospective observational study.
- MedicineJournal of pediatric surgery
- 2018
Management of intussusception in children: A systematic review.
- MedicineJournal of pediatric surgery
- 2020
Intussusception Management in Children: A 15-Year Experience in a Referral Center
- MedicineIndian Journal of Pediatrics
- 2022
Saline enema reduction presents the highest effectiveness, and should be considered the first-line treatment, in patients with ICI episodes treated at a single quaternary referral center from 2005 to 2019.
A Practice Guideline for Postreduction Management of Intussusception of Children in the Emergency Department.
- MedicinePediatric emergency care
- 2017
Implementation of a practice guideline involving early feeding and discharge after reduction of intussusception resulted in a reduced LOS from reduction in the pediatric emergency department in the PED and was not associated with recurrence of int Mussusception.
Incidence of recurrent intussusception in young children: A nationwide readmissions analysis.
- MedicineJournal of pediatric surgery
- 2020
Pediatric intussusception and early discharge after pneumatic reduction
- MedicineActa chirurgica Belgica
- 2019
Pneumatic reduction is a safe and effective method in pediatric intussusception and if one is confident about treatment success, patients can be discharged without a long observation period, which reduces time loss.
Hospital admission unnecessary for successful uncomplicated radiographic reduction of pediatric intussusception.
- MedicineAmerican journal of surgery
- 2017
References
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Management of childhood intussusception after reduction by enema.
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Postreduction management of intussusception in a children's hospital emergency department.
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- 2003
The postreduction management of intussusception is variable at a tertiary care children's hospital and previously healthy patients who have undergone successful enema reductions are unlikely to have adverse outcomes.
Enema-Reduced Intussusception Management: Is Hospitalization Necessary?
- MedicinePediatric emergency care
- 2009
Hospitalized children with enema-reduced intussusception required minimal interventions, had a low rate of signs and symptoms requiring further radiographic studies, and had no enema -reduced serious complications during hospitalization.
Utility of hospital admission after successful enema reduction of ileocolic intussusception.
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Intussusception in infants and children: feasibility of ambulatory management
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Outpatient treatment of acute ileo-colic intussusception is secure and reduces costs but requires simultaneous adaptation of hospital funding to promote this trend.
Intussusception--current trends in management.
- MedicineArchives of disease in childhood
- 1986
It is suggested that barium enema reduction should be the treatment of choice provided that there is an emergency service of a paediatric radiologist and the patient is adequately resuscitated, the only absolute contraindication being evidence of pneumatosis intestinalis or peritonitis.
Patterns of recurrence of intussusception in children: a 17-year review
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Because of the high reduction rate of recurrences, lack of perforation and favourable long-term follow-up, it is recommended to recommend radiological reduction for recurrent INT.
Recurrent intussusception. Risks and features.
- MedicineArchives of pediatrics & adolescent medicine
- 1994
Recurrent intussusception cannot be predicted by presenting features or symptoms; operative reduction due to a failed reduction by a barium enema reduces the risk of RI; and patients with RI have fewer symptoms with a shorter duration.