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Status survey on enema reduction of paediatric intussusception in China.

Authors
  • Tang, Xiao Bing1, 2
  • Zhao, Jia Yu1, 2
  • Bai, Yu Zuo1, 3
  • 1 1 Department of Pediatric Surgery, Shengjing Hospital, China Medical University, Shenyang, China. , (China)
  • 2 *These authors contributed equally to this work.
  • 3 2 The Pediatric Anorectal Group, Society of Pediatric Surgery, Chinese Medical Association, Shenyang, China. , (China)
Type
Published Article
Journal
The Journal of international medical research
Publication Date
Dec 16, 2018
Identifiers
DOI: 10.1177/0300060518814120
PMID: 30556437
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Intussusception is a common paediatric abdominal emergency in infants. The first-line treatment of choice in uncomplicated paediatric intussusception is enema reduction. The study aim was to provide an overview of the current national practice of enema reduction of paediatric intussusception in China. A questionnaire on enema reduction of paediatric intussusception was sent to respondents (members of the Pediatric Anorectal Group, the Neonatal Group, the Society of Pediatric Surgery and the China Medical Association). Data from 128 questionnaires were analysed. Of these, 78.1% (100/128) reported the use of fluoroscopy, 17.2% (22/128) use of ultrasound monitoring, 78.9% (101/128) use of air and 17.9% (23/128) use of normal saline. A total of 78.9% (101/128) reported a success rate of 90%, 25.8% (33/128) reported that a paediatric surgeon managed the reduction, 18.8% (24/128) that a radiologist managed the reduction and 44.5% (57/128) that a paediatric surgeon and radiologist jointly managed the reduction. There is large variation in the techniques of enema reduction of intussusception in China. Fluoroscopy-guided air enema reduction is mainly used. Enema reduction of uncomplicated cases of paediatric intussusception in China lacks standardization of equipment and personnel involvement.

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