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. 2019 Feb;47(2):859-866.
doi: 10.1177/0300060518814120. Epub 2018 Dec 16.

Status survey on enema reduction of paediatric intussusception in China

Xiao Bing Tang  1   2 , Jia Yu Zhao  1   2 , Yu Zuo Bai  1   3
Affiliations

Status survey on enema reduction of paediatric intussusception in China

Xiao Bing Tang et al. J Int Med Res. 2019 Feb.

Abstract

Objective: Intussusception is a common paediatric abdominal emergency in infants. The first-line treatment of choice in uncomplicated paediatric intussusception is enema reduction. The study aim was to provide an overview of the current national practice of enema reduction of paediatric intussusception in China.

Methods: A questionnaire on enema reduction of paediatric intussusception was sent to respondents (members of the Pediatric Anorectal Group, the Neonatal Group, the Society of Pediatric Surgery and the China Medical Association).

Results: Data from 128 questionnaires were analysed. Of these, 78.1% (100/128) reported the use of fluoroscopy, 17.2% (22/128) use of ultrasound monitoring, 78.9% (101/128) use of air and 17.9% (23/128) use of normal saline. A total of 78.9% (101/128) reported a success rate of 90%, 25.8% (33/128) reported that a paediatric surgeon managed the reduction, 18.8% (24/128) that a radiologist managed the reduction and 44.5% (57/128) that a paediatric surgeon and radiologist jointly managed the reduction.

Conclusions: There is large variation in the techniques of enema reduction of intussusception in China. Fluoroscopy-guided air enema reduction is mainly used. Enema reduction of uncomplicated cases of paediatric intussusception in China lacks standardization of equipment and personnel involvement.

Keywords: China; Intussusception; enema reduction; fluoroscopy; paediatric; survey; ultrasound.

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Figures

Figure 1.
Figure 1.
Survey analysis flowchart. The questionnaire was sent to 270 paediatric surgeons from 140 hospitals in China on August 19, 2017, and collected on March 1, 2018. A total of 194 questionnaires were received. Incomplete and duplicate questionnaires from the same hospital were discarded on March 10, 2018 (n = 66). Finally, 128 questionnaires from 128 hospitals, including all Provincial Children’s Hospitals and Children’s Medical Centers across 31 provinces and municipalities in China, were included for data analysis.
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