Clinical analysis of ultrasound-guided warm saline enema in the treatment of pediatric intussusception.

IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY
Jiankang Guo, Yanhong Bai, You Liang, Ya-Na Liu, Bin Zhang, Zhigang Fan
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引用次数: 0

Abstract

Objective: Few studies have explored using ultrasound-guided warm saline enema to treat acute intussusception in children. This article aimed to assess the effect of warm saline enema on acute intussusception in children.

Methods: In this study, we retrospectively analyzed 169 children who underwent ultrasound-guided warm saline enema treatment for pediatric intussusception in 3201 Hospital, Shanxi, China between January 1, 2020, and December 31, 2022.

Results: Out of the 169 children included in the study, 156 were successfully treated, while 13 did not respond to the treatment. The success rate was 92.31%, and the failure rate was 7.69%. The reduction time and hospital stay in 169 children ranged from 9 to 54 minutes and 1 to 25 days, respectively. On average, the reduction process took about 20.84±4.86 minutes, and the hospital stay was around 3.79±2.49 days. Among the 169 children, 3 experienced nausea and vomiting, while none had postoperative diarrhea or intestinal perforation. The overall incidence of complications like nausea and vomiting was 1.78%.

Conclusions: A total of 169 children with intussusception underwent treatment using ultrasound-guided warm saline enema. The reduction time was consistent with the existing literature. Complications were small in these cases, only manifested as nausea and vomiting. These findings also provide valuable evidence for clinical management of these diseases.

超声引导温盐水灌肠治疗小儿肠套叠的临床分析。
目的:超声引导下温盐水灌肠治疗小儿急性肠套叠的研究较少。本文旨在探讨温盐水灌肠治疗小儿急性肠套叠的效果。方法:本研究回顾性分析2020年1月1日至2022年12月31日在中国山西省3201医院接受超声引导下温盐水灌肠治疗小儿肠套叠的169例患儿。结果:在纳入研究的169名儿童中,156人成功治疗,13人对治疗无反应。成功率为92.31%,失败率为7.69%。169名儿童的减少时间和住院时间分别为9至54分钟和1至25天。平均复位时间为20.84±4.86分钟,住院时间为3.79±2.49天。169例患儿中,3例出现恶心呕吐,无一例术后腹泻或肠穿孔。恶心呕吐等并发症的总发生率为1.78%。结论:169例患儿采用超声引导下温盐水灌肠治疗肠套叠。还原时间与已有文献一致。这些病例的并发症很少,仅表现为恶心和呕吐。这些发现也为这些疾病的临床管理提供了有价值的证据。
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来源期刊
Acta gastro-enterologica Belgica
Acta gastro-enterologica Belgica Medicine-Gastroenterology
CiteScore
2.30
自引率
20.00%
发文量
78
期刊介绍: The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.
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