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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Management of intussusception in children: A systematic review
Journal of pediatric surgery, v 56(3), pp 587-596
01 Mar 2021
PMID: 33158508
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The goal of this systematic review by the American Pediatric Surgical Association Outcomes and Evidence-Based Practice Committee was to develop recommendations for the management of ileocolic intussusception in children.
The ClinicalTrials.gov, Embase, PubMed, and Scopus databases were queried for literature from January 1988 through December 2018. Search terms were designed to address the following topics in intussusception: prophylactic antibiotic use, repeated enema reductions, outpatient management, and use of minimally invasive techniques for children with intussusception. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were followed. Consensus recommendations were derived based on the best available evidence.
A total of 83 articles were analyzed and included for review. Prophylactic antibiotic use does not decrease complications after radiologic reduction. Repeated enema reductions may be attempted when clinically appropriate. Patients can be safely observed in the emergency department following enema reduction of ileocolic intussusception, avoiding hospital admission. Laparoscopic reduction is often successful.
Regarding intussusception in hemodynamically stable children without critical illness, pre-reduction antibiotics are unnecessary, non-operative outpatient management should be maximized, and minimally invasive techniques may be used to avoid laparotomy.
Level 3–5 (mainly level 3–4)
Systematic Review of level 1–4 studies
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Details
- Title
- Management of intussusception in children: A systematic review
- Creators
- Lorraine I. Kelley-Quon - University of Southern CaliforniaL. Grier Arthur - St. Christopher's Hospital for ChildrenRegan F. Williams - Le Bonheur Children's HospitalAdam B. Goldin - Seattle Children's HospitalShawn D. St. Peter - Children's Mercy HospitalAlana L. Beres - University of California, DavisYue-Yung Hu - Northwestern UniversityElizabeth J. Renaud - Hasbro Children's HospitalRobert Ricca - Naval Medical Center PortsmouthMark B. Slidell - Comer Children's HospitalAmy Taylor - Texas Medical CenterCaitlin A. Smith - Seattle Children's HospitalDoug Miniati - Kaiser Permanente Roseville Medical CenterJuan E. Sola - University of MiamiPatricia Valusek - Children's MinnesotaLoren Berman - Alfred I. duPont Hospital for ChildrenMehul V. Raval - Northwestern UniversityAnkush Gosain - University of Tennessee Health Science CenterMatthew B. Dellinger - Seattle Children's HospitalStig Sømme - Children's Hospital ColoradoCynthia D. Downard - University of LouisvilleJarod P. McAteer - AnchorageAkemi Kawaguchi - Memorial Hermann
- Publication Details
- Journal of pediatric surgery, v 56(3), pp 587-596
- Publisher
- Elsevier
- Number of pages
- 10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics; Surgery
- Web of Science ID
- WOS:000621810200029
- Scopus ID
- 2-s2.0-85095574384
- Other Identifier
- 991021969588404721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics
- Surgery