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Factors associated with surgical treatment in pediatric intussusception

Chirurgische Behandlung der Darminvagination bei pädiatrischen Patienten

Summary

Background

The study aimed to identify factors related to the need for surgical treatment of intussusception in pediatric patients.

Methods

The medical charts of 106 patients diagnosed with intussusception and treated at the Imam Khomeini Medical Center in Ahvaz city between September 2019 and October 2020 were retrospectively reviewed. Patients were compared in terms of risk factor groups treated with surgery (12 pediatric patients) and nonsurgical methods (92 pediatric patients). Size of intussusception, free fluid in the abdomen, and currant jelly stool were compared between the groups.

Results

The mean age in the group treated with surgery was significantly higher (p = 0.01). The duration of symptoms in patients treated with surgery was significantly higher (p = 0.033). The size of intussusception in the surgical treatment group was significantly larger than in the nonsurgical recovery group (p = 0.042). The rates of presence of free fluid in the abdomen and currant jelly stool were significantly higher in patients treated with surgery (p = 0.001 and p = 0.004, respectively).

Conclusion

Age > 1 year, duration of symptoms > 24 h, currant jelly stool, intussusception > 3.5 cm, and free peritoneal fluid are factors associated with surgical treatment of intussusception in children.

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Abbreviations

CBC:

Complete blood count

CRP:

C‑reactive protein

Diff:

Differential

ESR:

Erythrocyte sedimentation rate

WBC:

White blood cell

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Acknowledgements

This study was approved by research affair of Ahvaz Jundishapur University of Medical Sciences.

Author information

Authors and Affiliations

Authors

Contributions

MP supervised the thesis and collected data. SA supervised and wrote the draft of the manuscript. MG wrote the draft of the proposal and analyzed the data. HJ analyzed data, revised the manuscript, and analyzed data. All authors read and approved the manuscript.

Corresponding author

Correspondence to Shahnam Askarpour.

Ethics declarations

Conflict of interest

M. Peyvasteh, S. Askarpour, M. Ghanavati, and H. Javaherizadeh declare that they have no competing interests.

Ethical standards

Ethics approval and consent to participate: this study was approved by the ethical committee of the Ahvaz Jundishapur University of Medical Sciences (IR.AJUMS.REC.1398.885). Consent for publication: not applicable.

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Peyvasteh, M., Askarpour, S., Ghanavati, M. et al. Factors associated with surgical treatment in pediatric intussusception. Wien Med Wochenschr (2022). https://doi.org/10.1007/s10354-022-00953-y

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  • DOI: https://doi.org/10.1007/s10354-022-00953-y

Keywords

  • Child
  • Currant jelly stool
  • Ileum
  • Leukocytosis
  • Schoenlein-Henoch Purpura