Management of early relapse of pediatric acute intussusception after ene-ma reduction
- VernacularTitle:小儿急性肠套叠灌肠复位术后早期复发处理
- Author:
Zhihong LAI
1
;
Yanjun ZHENG
;
Fan ZHOU
;
Wenlong ZHENG
;
Hongbin CAI
;
Zhijun LIU
Author Information
1. 汕头大学医学院第一附属医院小儿外科
- Keywords:
Pediatric;
Acute intussusception;
Air enema;
Relapse management
- From:
China Modern Doctor
2015;(12):61-63
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the reasons and management of early relapse of pediatric acute intussusception after enema reduction. Methods Clinical data of 48 patients with early relapse of pediatric acute intussusception after enema reduction were retrospectively collected and analyzed, especially for X-ray data during enema. Relevant management methods were proposed. Results In the comparison of gender, age, admission time and enema pressure between the early relapse group and non-relapse group of children patients, without statistically significant differences(χ2 all <3.84,P>0.05). However, as for①whether X-ray sign of intestinal obstruction could be seen during diagnosis,②whether intus-suscepted parts could be clearly seen after reduction, ③whether intussuscepted parts became larger after pressure re-lief, and ④inflation of small intestine after reduction compared between the two groups, with statistically significant differences (χ2 all>3.84,P<0.05). Patients in the relapse group were all given a secondary enema reduction. Conclu-sion During early stage after reduction of intussusception by air enema, possibilities of relapse or multiple relapses should still be noticed. Observations of multiple repeated changes of body position during enema and special attention to changes of intussuscepted parts are one of critical factors for reducing relapses and ensuring a success for secondary enema. A secondary air enema can be carried out when mastering the indications.
