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Abstract
Intussusception is most often diagnosed in well-nourished 7- to 10-month-old infants,
but may be overlooked in older children. From 1985 to 1991, we treated 118 boys and
62 girls ranging in age from 2 months to 15 years (average, 22.6 months). Thirty-seven
percent were older than 2 years, significantly more than in earlier experience at
this institution. Overall, children with intussusception had a less than average weight
(P < .05). The majority of intussusceptions in all age groups were idiopathic. Seventy-three
percent of the patients were treated successfully by barium enema. The presence of
air-fluid levels on the plain radiograph decreased the success rate of barium enema
reduction from 81% to 49%. Barium enema reduction should nevertheless be attempted
regardiess of the age of the patient or the duration of symptoms, and routine surgical
exploration is never recommended. (Am J Emerg Med 1992;10:574–576.
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References
- Intussusception.in: Welsh KJ Randolph JG Ravitch MM Pediatric Surgery. Year Book Medical, Chicago, IL1986: 868-882
- Intussusception: Evolution of current management.J Pediatr Gastroenterol Nutr. 1987; 6: 663-674
- L'invagination intestinale. 188 malades traités au cours d'une période de 22 ans.Chir Pediatr. 1982; 23: 23-27
- ed 11. Complications in Pediatric Surgery. Wiley, New York, NY1982: 203-207
- Réflexions à partir d'une série de 118 invaginations intestinales aiguës.Ann Pediatr. 1988; 35: 377-381
- Ultrasound in diagnosis of intussusception.Lancet. 1985; 2: 733-734
- L'invagination intestinale. Analyse casuistique de ces 45 dernières années.Chir Pediatr. 1987; 28: 155-157
- Imaging of the acute abdomen in infants and children.AJR Am J Roentgenol. 1989; 153: 921-928
- Aspects actuels de l'invagination intestinale aiguë chez l'enfant.Ann Pediatr. 1987; 34: 814-816
- Neonatal intussusception.Radiology. 1977; 125: 463-466
- L'invagination intestinale aiguë du nourrisson et de l'enfant, évaluation critique de la stratégie diagnostique et thérapeutique.Chir Pediatr. 1987; 28: 280-284
- Résultat du traitement des invaginations intestinales aiguës par lavement opaque.Chir Pediatr. 1987; 28: 151-154
- Atypical characteristics of a group of children with intussusception.Acta Paediatr Scand. 1990; 79: 675-679
- The well-nourished infant with intussusception: Fact or fallacy?.Am J Dis Child. 1981; 135: 600-602
- Lethargy as a presenting symptom in patients with intussusception.Clin Pediatr. 1986; 25: 363-365
- Early coma in intussusception: Endogenous opioid induced?.Pediatr Emerg Care. 1987; 3: 22-23
- Intussusception reduction in children by rectal insufflation of air.AJR Am J Roentgenol. 1988; 150: 1345-1348
- Results of air pressure enema reduction of intussusception: 6,396 cases in 13 years.J Pediatr Surg. 1986; 21: 1201-1203
- Fièvre transitoire associée à la réduction de l'invagination intestinale.Chir Pédiatr. 1991; 31: 157-159
Article Info
Publication History
Accepted:
May 1,
1992
Received:
April 7,
1992
Identification
Copyright
© 1992 Published by Elsevier Inc.
