Predictors of failed enema reduction in childhood intussusception

Frankie B. Fike, Vincent E. Mortellaro, George W. Holcomb, Shawn D. St. Peter

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background: Initial management of intussusception is enema reduction. Data are scarce on predicting which patients are unlikely to have a successful reduction. Therefore, we reviewed our experience to identify factors predictive of enema failure. Methods: A retrospective review of all episodes of intussusception over the past 10 years was conducted. Demographics, presentation variables, colonic extent of intussusceptions, and hospital course were collected. Extent of intussusception was classified as right, transverse, descending, and rectosigmoid. Episodes were grouped as success or failure of enema reduction and compared using the Student t test for continuous variables and X 2 test for dichotomous variables. Significance was P less than .05. Results:We identified 405 episodes of intussusception and 371 attempts at enema reduction. Therewere 285 successful enema reductions. There was no difference between groups in age; sex; or the presence of emesis, fever, or abdominal mass. The failed ene a group was more likely to have had symptoms over 24 hours before presentation (P = .006), bloody diarrhea (P b .001), and lethargy (P b .001). The chance of success diminished with colonic extent (right, 88%; transverse, 73%; left, 43%; colorectal, 29%; P b .001). Conclusion: Predictors of failed enema reduction of intussusception include presence of symptoms over 24 hours, diarrhea, lethargy, and distal extent of intussusception.

Original languageEnglish (US)
Pages (from-to)925-927
Number of pages3
JournalJournal of Pediatric Surgery
Volume47
Issue number5
DOIs
StatePublished - May 1 2012

Fingerprint

Intussusception
Enema
Lethargy
Diarrhea
Vomiting
Fever
Age Groups
Demography
Students

Keywords

  • Enema reduction
  • Intussusceptions

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Fike, F. B., Mortellaro, V. E., Holcomb, G. W., & St. Peter, S. D. (2012). Predictors of failed enema reduction in childhood intussusception. Journal of Pediatric Surgery, 47(5), 925-927. https://doi.org/10.1016/j.jpedsurg.2012.01.047

Predictors of failed enema reduction in childhood intussusception. / Fike, Frankie B.; Mortellaro, Vincent E.; Holcomb, George W.; St. Peter, Shawn D.

In: Journal of Pediatric Surgery, Vol. 47, No. 5, 01.05.2012, p. 925-927.

Research output: Contribution to journalArticle

Fike, FB, Mortellaro, VE, Holcomb, GW & St. Peter, SD 2012, 'Predictors of failed enema reduction in childhood intussusception', Journal of Pediatric Surgery, vol. 47, no. 5, pp. 925-927. https://doi.org/10.1016/j.jpedsurg.2012.01.047
Fike, Frankie B. ; Mortellaro, Vincent E. ; Holcomb, George W. ; St. Peter, Shawn D. / Predictors of failed enema reduction in childhood intussusception. In: Journal of Pediatric Surgery. 2012 ; Vol. 47, No. 5. pp. 925-927.
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