Management of ileocolic intussusception in the Czech Republic

Česká verzia

Authors: N. Polívka ¹; L. Poš ¹; B. Kučerová ¹; V. Dotlačil ¹; R. Macháček ²; L. Plánka ²; J. Pejšová Šilerová ³; K. Harvánek ³; P. Dohnal ⁴; R. Hanák ⁴; D. Podhájecký ⁵; P. Polák ⁵; R. Štichhauer ⁶; S. Krpatová ⁷; T. Příplatová ⁷; L. Janeček ⁸; T. Limprechtová ⁹; P. Havránek ⁹; T. Malý ¹⁰; A. Podolová ¹¹; I. Slívová ¹¹; Z. Horák ¹²; J. Bierhanzlová ¹³; J. Schmidtová ¹⁴; M. Rygl ¹
Authors place of work: Klinika dětské chirurgie, 2. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Motol, Praha ¹; Klinika dětské chirurgie, ortopedie a traumatologie, Fakultní nemocnice Brno ²; Oddělení dětské chirurgie a traumatologie, Nemocnice Na Bulovce, Praha ³; Chirurgické oddělení, Nemocnice České Budějovice ⁴; Oddělení dětské chirurgie – dětské úrazové centrum, Masarykova nemocnice, Ústí nad Labem ⁵; Oddělení dětské chirurgie a traumatologie, Fakultní nemocnice Hradec Králové ⁶; Oddělení dětské chirurgie, Oblastní nemocnice Kladno ⁷; Oddělení dětské chirurgie, Oblastní nemocnice Kolín ⁸; Klinika dětské chirurgie a traumatologie, 3. lékařská fakulta Univerzity Karlovy a Thomayerova nemocnice, Praha ⁹; I. Chirurgická klinika, Fakultní nemocnice Olomouc ¹⁰; Centrum dětské traumatologie a chirurgie – Chirurgická klinika, Fakultní nemocnice Ostrava ¹¹; Chirurgická klinika – Oddělení dětské chirurgie, Pardubická nemocnice ¹²; Chirurgická klinika, Fakultní nemocnice Plzeň a lékařská fakulta Univerzity Karlovy v Plzni ¹³; Chirurgické oddělení, Slezská nemocnice v Opavě ¹⁴
Published in the journal: Rozhl. Chir., 2021, roč. 100, č. 7, s. 339-347.
Category: Původní práce
doi: https://doi.org/10.33699/PIS.2021.100.7.339–347

Summary

Introduction: Ileocolic intussusception is one of the most frequent causes of acute abdomen in infants and toddlers. The purpose of this study was to evaluate the treatment of ileocolic intussusception in the Czech Republic in 2019.

Methods: Fourteen departments of paediatric surgery participated in this multicentre retrospective study. A SurveyMonkey Inc. questionnaire was used for anonymous data collection of patients with ileocolic intussusception.

Results: In 2019, ileocolic intussusception was diagnosed in 162 patients; median age was 30 months (3 months to 9.5 years). Contrast enema was indicated in 133 patients, primary surgery in 14 patients and spontaneous reduction was found in 15 patients. All departments using contrast enema had a success rate of 89.5%; 12 departments approached the contrast enema procedure under general anaesthesia (including myorelaxation at 7 departments) and 2 departments under sedation. Contrast enema under general anaesthesia with/without myorelaxation was significantly more successful than contrast enema under sedation (108/113, 95.6% vs 11/20, 55%; p<0.0001). In total, 28 patients were treated surgically, in 14 primary surgery was performed. Both surgical treatment and bowel resection were statistically significantly more frequent in departments where contrast enema was performed under sedation in comparison to departments performing contrast enema under general anaesthesia (9/20, 45% vs 19/142, 13.4%; p=0.0018 and 7/9, 77.8% vs 5/19, 26.3% p=0.0166).

Conclusion: The success rate of contrast enema in the Czech Republic was 89.5%. The highest success rate is achieved by performing contrast enema under general anaesthesia.

Keywords:

Intussusception – ileocolic – reduction – feeding

Zdroje

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