Factors associated with a failed nonoperative reduction of intussusception in children

Aims: The aim of this study was to evaluate the factors associated with the failure of nonoperative reduction of intussusception in children. Methods: A retrospective study was conducted in a tertiary care pediatric surgery hospital. The children admitted to the department of pediatric surgery betwe...

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Autores principales:	Bahubali Deepak Gadgade, Veerabhadra Radhakrishna, Nitin Kumar
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	hydrostatic reduction intussusception pneumatic reduction surgery Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/fbc980dc4aca42d1bd137f73df94e1f5
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spelling	oai:doaj.org-article:fbc980dc4aca42d1bd137f73df94e1f52021-11-19T10:42:06ZFactors associated with a failed nonoperative reduction of intussusception in children0971-92611998-389110.4103/jiaps.JIAPS_297_20https://doaj.org/article/fbc980dc4aca42d1bd137f73df94e1f52021-01-01T00:00:00Zhttp://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=6;spage=421;epage=426;aulast=Gadgadehttps://doaj.org/toc/0971-9261https://doaj.org/toc/1998-3891Aims: The aim of this study was to evaluate the factors associated with the failure of nonoperative reduction of intussusception in children. Methods: A retrospective study was conducted in a tertiary care pediatric surgery hospital. The children admitted to the department of pediatric surgery between November 2013 and February 2020 with the diagnosis of Intussusception were included. Results: A total of 106 (67%) children underwent pneumatic reduction. Eighty-nine (84%) children had a successful reduction. A higher rate of failed reduction was found in children who presented at or after 48 h of the onset of symptoms (P = 0.03) and abdominal distension at presentation (P < 0.002). On multiple logistic regression analysis, the children presenting at or after 48 h of the onset of symptoms (odds ratio [OR] = 11.3; P = 0.039) and abdominal distension at presentation (OR = 4.46; P = 0.021) were found to be associated with increased risk of failure of nonoperative reduction. The variables age <1 year, weight <10 kg, pain abdomen, vomiting, bilious vomiting, fever, bleeding per rectum, and palpable mass were not associated with the failed nonoperative reduction. The variables, presentation at or after 48 h of the onset of symptoms (OR = 2.812; P = 0.045) and abdominal distension at presentation (OR = 8.758; P = 0.000) were found to be associated with an increased need for surgery. Conclusion: The risk factors for failed nonoperative reduction of intussusception include a presentation at or after 48 h of the onset of symptoms and the presence of abdominal distension at presentation. The delayed presentation was associated with the increased need for surgery and increased chances of intestinal nonviability.Bahubali Deepak GadgadeVeerabhadra RadhakrishnaNitin KumarWolters Kluwer Medknow Publicationsarticlehydrostatic reductionintussusceptionpneumatic reductionsurgeryPediatricsRJ1-570SurgeryRD1-811ENJournal of Indian Association of Pediatric Surgeons, Vol 26, Iss 6, Pp 421-426 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hydrostatic reduction intussusception pneumatic reduction surgery Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	hydrostatic reduction intussusception pneumatic reduction surgery Pediatrics RJ1-570 Surgery RD1-811 Bahubali Deepak Gadgade Veerabhadra Radhakrishna Nitin Kumar Factors associated with a failed nonoperative reduction of intussusception in children
description	Aims: The aim of this study was to evaluate the factors associated with the failure of nonoperative reduction of intussusception in children. Methods: A retrospective study was conducted in a tertiary care pediatric surgery hospital. The children admitted to the department of pediatric surgery between November 2013 and February 2020 with the diagnosis of Intussusception were included. Results: A total of 106 (67%) children underwent pneumatic reduction. Eighty-nine (84%) children had a successful reduction. A higher rate of failed reduction was found in children who presented at or after 48 h of the onset of symptoms (P = 0.03) and abdominal distension at presentation (P < 0.002). On multiple logistic regression analysis, the children presenting at or after 48 h of the onset of symptoms (odds ratio [OR] = 11.3; P = 0.039) and abdominal distension at presentation (OR = 4.46; P = 0.021) were found to be associated with increased risk of failure of nonoperative reduction. The variables age <1 year, weight <10 kg, pain abdomen, vomiting, bilious vomiting, fever, bleeding per rectum, and palpable mass were not associated with the failed nonoperative reduction. The variables, presentation at or after 48 h of the onset of symptoms (OR = 2.812; P = 0.045) and abdominal distension at presentation (OR = 8.758; P = 0.000) were found to be associated with an increased need for surgery. Conclusion: The risk factors for failed nonoperative reduction of intussusception include a presentation at or after 48 h of the onset of symptoms and the presence of abdominal distension at presentation. The delayed presentation was associated with the increased need for surgery and increased chances of intestinal nonviability.
format	article
author	Bahubali Deepak Gadgade Veerabhadra Radhakrishna Nitin Kumar
author_facet	Bahubali Deepak Gadgade Veerabhadra Radhakrishna Nitin Kumar
author_sort	Bahubali Deepak Gadgade
title	Factors associated with a failed nonoperative reduction of intussusception in children
title_short	Factors associated with a failed nonoperative reduction of intussusception in children
title_full	Factors associated with a failed nonoperative reduction of intussusception in children
title_fullStr	Factors associated with a failed nonoperative reduction of intussusception in children
title_full_unstemmed	Factors associated with a failed nonoperative reduction of intussusception in children
title_sort	factors associated with a failed nonoperative reduction of intussusception in children
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/fbc980dc4aca42d1bd137f73df94e1f5
work_keys_str_mv	AT bahubalideepakgadgade factorsassociatedwithafailednonoperativereductionofintussusceptioninchildren AT veerabhadraradhakrishna factorsassociatedwithafailednonoperativereductionofintussusceptioninchildren AT nitinkumar factorsassociatedwithafailednonoperativereductionofintussusceptioninchildren
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Factors associated with a failed nonoperative reduction of intussusception in children

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