Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Oct;172(13-14):313-316.
doi: 10.1007/s10354-022-00953-y. Epub 2022 Jul 27.

Factors associated with surgical treatment in pediatric intussusception

Mehran Peyvasteh  1 , Shahnam Askarpour  2 , Mehdi Ghanavati  1 , Hazhir Javaherizadeh  3
Affiliations

Factors associated with surgical treatment in pediatric intussusception

Mehran Peyvasteh et al. Wien Med Wochenschr. 2022 Oct.

Abstract

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.

Keywords: Child; Currant jelly stool; Ileum; Leukocytosis; Schoenlein-Henoch Purpura.

PubMed Disclaimer

References

    1. Jiang W, Tang W, Geng Q, Xu X. Postoperative intussusception in infants and children: a report of seven cases. J Biomed Res. 2012;26(1):66–8. - DOI
    1. Ye X, Tang R, Chen S, Lin Z, Zhu J. Risk factors for recurrent intussusception in children: a systematic review and meta-analysis. Front Pediatr. 2019;7:145. - DOI
    1. Tajik P, Goudarzian AH. Intussusception of the rectum in children; a rare case report. Gastroenterol Hepatol Bed Bench. 2018;11(2):169–71. - PubMed - PMC
    1. Daneman A, Myers M, Shuckett B, Alton DJ. Sonographic appearances of inverted Meckel diverticulum with intussusception. Ped Radiol. 1997;27(4):295–8. - DOI
    1. Ong N‑T, Beasley SW. The leadpoint in intussusception. J Pediatr Surg. 1990;25(6):640–3. - DOI

LinkOut - more resources