Hydrostatic reduction of intussusception: the impact of high enema pressure on success rates.

IF 1.5 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2024-12-08 DOI:10.1007/s00383-024-05919-2

Bingjie Wang, Ziwei Jian, Weicheng Huang, Beilei Huang, Fengguang Ye, Jinrong Chen, Wenyou Chen

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引用次数: 0

Abstract

Purpose: The aim of this study is to analyze the effect of increasing enema pressure on enema outcomes.

Methods: We conducted a retrospective study to compare the effect of increasing enema pressure on enema outcomes. The primary outcome was the success rate of reduction, while secondary outcomes included intestinal perforation and recurrence rate.

Results: From May 2017 to April 2021, a total of 531 intussusceptions in 499 patients (Group A 247 patients, Group B 252 patients) were collected. The overall success reduction rate was 97.00%. The success reduction rate in Group A was 99.20% (245/247) and 94.8% (239/252) in Group B (P = 0.004). The overall recurrence rate within 48 h after the initial enema reduction was 8.02%, and beyond 48 h was 6.41%. The recurrence rates within 48 h and beyond 48 h were 9.39% and 6.53% in group A and 7.11% and 6.69% in group B, respectively (P = 0.526). No complications were associated with the enema reduction procedure.

Conclusion: Our study has shown that using a hydrostatic pressure of 130 mmHg for enema reduction is both effective and safe, with a higher success rate and no increased risk of complications.

Level of evidence: Therapeutic study, III.

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肠套叠静水复位：高灌肠压力对成功率的影响。

目的：本研究的目的是分析增加灌肠压力对灌肠结果的影响。方法：我们进行了一项回顾性研究，比较增加灌肠压力对灌肠结果的影响。主要观察指标为复位成功率，次要观察指标为肠穿孔和复发率。结果：2017年5月至2021年4月，共收集肠套叠患者499例，共531例（a组247例，B组252例）。总成功率为97.00%。A组手术成功率为99.20% (245/247)，B组为94.8% (239/252)（P = 0.004）。初次灌肠后48 h内的总复发率为8.02%，48 h后的总复发率为6.41%。A组48 h内复发率为9.39%，48 h后复发率为6.53%，B组为7.11%，48 h后复发率为6.69% （P = 0.526）。灌肠复位手术无并发症。结论：我们的研究表明，使用130 mmHg静水压力进行灌肠是有效且安全的，成功率较高，且未增加并发症的风险。证据等级：治疗性研究，III级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor