Intussusception: Trends in clinical presentation and management.
| Title: | Intussusception: Trends in clinical presentation and management. |
|---|---|
| Authors: | JUSTICE, FRANCES A1,2, AULDIST, ALEX W3, BINES, JULIE E1,2,4 julie.bines@rch.org.au |
| Source: | Journal of Gastroenterology & Hepatology. May2006, Vol. 21 Issue 5, p842-846. 5p. 2 Charts, 2 Graphs. |
| Subject Terms: | *INTESTINAL intussusception, *INTUSSUSCEPTION in children, *ROTAVIRUS vaccines, *BOWEL obstructions, *ABDOMINAL pain, *VOMITING |
| Abstract: | Background: The association of a rotavirus vaccine and intussusception has renewed interest in understanding the incidence, clinical presentation and outcome of intussusception. Methods: A retrospective chart review of all patients diagnosed with intussusception at Royal Children’s Hospital, Melbourne over a 6.5-year period (1 January 1995–30 June 2001) was conducted using patients identified by a medical record database (ICD-9-CM code 560.0 1993–1997; ICD-10-CM code 56.1 1998–2001). Patient profile, clinical presentation, diagnosis methods, treatment and outcome were analyzed and compared to data previously reported on children with intussusception at the same hospital during 1962–1968. Results: The hospitalization rate for primary idiopathic intussusception increased marginally from 0.19 to 0.27 per 1000 live births during the period 1962–1968 to 1995–2001. Most patients (80%) were <12 months of age (median age 7 months, range 2–72 months). The combination of abdominal pain, lethargy and vomiting was reported in 78% of infants. Air enema confirmed the diagnosis of intussusception in 186 of 191 cases (97%) and air reduction was successful in most cases (82%). Factors associated with increased risk of intestinal resection included abdominal distension (32%), bowel obstruction on abdominal X-ray (27%) and hypovolemic shock (40%). No mortality was observed in the present study. Conclusions: Over the past 40 years at Royal Children’s Hospital, Melbourne the hospitalization rate due to primary idiopathic intussusception has marginally increased from 0.19 to 0.27 per 1000 live births. Diagnosis and treatment using air enema has been highly successful, resulting in a reduction in patients requiring surgery and reduced hospital stays. [ABSTRACT FROM AUTHOR] |
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| Items | – Name: Title Label: Title Group: Ti Data: Intussusception: Trends in clinical presentation and management. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22JUSTICE%2C+FRANCES+A%22">JUSTICE, FRANCES A</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22AULDIST%2C+ALEX+W%22">AULDIST, ALEX W</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22BINES%2C+JULIE+E%22">BINES, JULIE E</searchLink><relatesTo>1,2,4</relatesTo><i> julie.bines@rch.org.au</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Gastroenterology+%26+Hepatology%22">Journal of Gastroenterology & Hepatology</searchLink>. May2006, Vol. 21 Issue 5, p842-846. 5p. 2 Charts, 2 Graphs. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22INTESTINAL+intussusception%22">INTESTINAL intussusception</searchLink><br />*<searchLink fieldCode="DE" term="%22INTUSSUSCEPTION+in+children%22">INTUSSUSCEPTION in children</searchLink><br />*<searchLink fieldCode="DE" term="%22ROTAVIRUS+vaccines%22">ROTAVIRUS vaccines</searchLink><br />*<searchLink fieldCode="DE" term="%22BOWEL+obstructions%22">BOWEL obstructions</searchLink><br />*<searchLink fieldCode="DE" term="%22ABDOMINAL+pain%22">ABDOMINAL pain</searchLink><br />*<searchLink fieldCode="DE" term="%22VOMITING%22">VOMITING</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: The association of a rotavirus vaccine and intussusception has renewed interest in understanding the incidence, clinical presentation and outcome of intussusception. Methods: A retrospective chart review of all patients diagnosed with intussusception at Royal Children’s Hospital, Melbourne over a 6.5-year period (1 January 1995–30 June 2001) was conducted using patients identified by a medical record database (ICD-9-CM code 560.0 1993–1997; ICD-10-CM code 56.1 1998–2001). Patient profile, clinical presentation, diagnosis methods, treatment and outcome were analyzed and compared to data previously reported on children with intussusception at the same hospital during 1962–1968. Results: The hospitalization rate for primary idiopathic intussusception increased marginally from 0.19 to 0.27 per 1000 live births during the period 1962–1968 to 1995–2001. Most patients (80%) were <12 months of age (median age 7 months, range 2–72 months). The combination of abdominal pain, lethargy and vomiting was reported in 78% of infants. Air enema confirmed the diagnosis of intussusception in 186 of 191 cases (97%) and air reduction was successful in most cases (82%). Factors associated with increased risk of intestinal resection included abdominal distension (32%), bowel obstruction on abdominal X-ray (27%) and hypovolemic shock (40%). No mortality was observed in the present study. Conclusions: Over the past 40 years at Royal Children’s Hospital, Melbourne the hospitalization rate due to primary idiopathic intussusception has marginally increased from 0.19 to 0.27 per 1000 live births. Diagnosis and treatment using air enema has been highly successful, resulting in a reduction in patients requiring surgery and reduced hospital stays. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Gastroenterology & Hepatology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/j.1440-1746.2005.04031.x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 842 Subjects: – SubjectFull: INTESTINAL intussusception Type: general – SubjectFull: INTUSSUSCEPTION in children Type: general – SubjectFull: ROTAVIRUS vaccines Type: general – SubjectFull: BOWEL obstructions Type: general – SubjectFull: ABDOMINAL pain Type: general – SubjectFull: VOMITING Type: general Titles: – TitleFull: Intussusception: Trends in clinical presentation and management. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: JUSTICE, FRANCES A – PersonEntity: Name: NameFull: AULDIST, ALEX W – PersonEntity: Name: NameFull: BINES, JULIE E IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May2006 Type: published Y: 2006 Identifiers: – Type: issn-print Value: 08159319 Numbering: – Type: volume Value: 21 – Type: issue Value: 5 Titles: – TitleFull: Journal of Gastroenterology & Hepatology Type: main |
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