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Factors associated with a failed nonoperative reduction of intussusception in children
| Content Provider | Scilit |
|---|---|
| Author | Gadgade, Bahubali Deepak Kumar, Nitin Radhakrishna, Veerabhadra |
| Copyright Year | 2021 |
| Abstract | Aims: The aim of this study was to evaluate the factors associated with the failure of nonoperative reduction of intussusception in children. Methods: A retrospective study was conducted in a tertiary care pediatric surgery hospital. The children admitted to the department of pediatric surgery between November 2013 and February 2020 with the diagnosis of Intussusception were included. Results: A total of 106 (67%) children underwent pneumatic reduction. Eighty-nine (84%) children had a successful reduction. A higher rate of failed reduction was found in children who presented at or after 48 h of the onset of symptoms (P = 0.03) and abdominal distension at presentation (P < 0.002). On multiple logistic regression analysis, the children presenting at or after 48 h of the onset of symptoms (odds ratio [OR] = 11.3; P = 0.039) and abdominal distension at presentation (OR = 4.46; P = 0.021) were found to be associated with increased risk of failure of nonoperative reduction. The variables age <1 year, weight <10 kg, pain abdomen, vomiting, bilious vomiting, fever, bleeding per rectum, and palpable mass were not associated with the failed nonoperative reduction. The variables, presentation at or after 48 h of the onset of symptoms (OR = 2.812; P = 0.045) and abdominal distension at presentation (OR = 8.758; P = 0.000) were found to be associated with an increased need for surgery. Conclusion: The risk factors for failed nonoperative reduction of intussusception include a presentation at or after 48 h of the onset of symptoms and the presence of abdominal distension at presentation. The delayed presentation was associated with the increased need for surgery and increased chances of intestinal nonviability. |
| Related Links | https://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=6;spage=421;epage=426;aulast=Gadgade;type=2 |
| File Format | XHTML |
| ISSN | 09719261 |
| e-ISSN | 19983891 |
| DOI | 10.4103/jiaps.jiaps_297_20 |
| Journal | Journal of Indian Association of Pediatric Surgeons |
| Issue Number | 6 |
| Volume Number | 26 |
| Language | English |
| Publisher | Medknow |
| Access Restriction | Open |
| Subject Keyword | Pediatrics and Child Health Hydrostatic Reduction Intussusception Pneumatic Reduction Surgery Journal of Indian Association of Pediatric Surgeons, Volume 26, Issue 6 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery Pediatrics, Perinatology and Child Health |
