Ondhia, Meraj N, Al-Mutawa, Yousef, Harave, Srikrishna and Losty, Paul D 
ORCID: 0000-0003-0841-5879
(2020)
Intussusception: A 14-year experience at a UK tertiary referral centre.
JOURNAL OF PEDIATRIC SURGERY, 55 (8).
pp. 1570-1573.
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Abstract
<h4>Aims</h4>Intussusception is the most common cause of acute intestinal obstruction in infants. First line management in uncomplicated cases at our centre is fluoroscopy guided air enema reduction. This study reports a 14 year UK single centre experience highlighting management and outcomes of intussusception in children.<h4>Methods</h4>All cases of intussusception (ICD 10-code K56.1) at a single tertiary referral centre from 2004 to 2017 were analyzed. Data evaluated included patient demographics, clinical presentation, treatment modality(s), complications and outcome(s).<h4>Results</h4>Two hundred ninety confirmed cases (69% male) of intussusception were identified during the study period. The median age at presentation was 9.5 months (range 4 days-15 years). One hundred eighty-six (64%) cases occurred in children who were transferred to Alder Hey from peripheral district hospitals. One hundred ninety-six cases (68%) proceeded directly to air enema reduction and successful reduction was achieved in 129 cases (66%). A single case (0.5%) of attempted air enema reduction was complicated by perforation. Early recurrence rate following air enema reduction was 9%. Operative management was indicated in 140 (48%) cases of which 66 required bowel resection (47%). There were no deaths.<h4>Conclusions</h4>We highlight one of the largest single centre UK studies defining practice outcomes for intussusception across the British Isles. Our centre has achieved a 66% success rate of non-operative reduction over 14 years in line with the British Society Pediatric Radiology (BSPR) recommendations and within 5% of the national median metric (71%). Moreover these outcomes were achieved with a very low complication rate (0.5%) from air enema reduction and no mortality in the series.<h4>Type of study</h4>Retrospective study.<h4>Level of evidence</h4>III.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Intussusception, Fluoroscopy-guided air enema reduction |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 19 Sep 2019 09:15 |
| Last Modified: | 19 Jan 2023 00:26 |
| DOI: | 10.1016/j.jpedsurg.2019.07.022 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3055181 |
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