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HK J Paediatr (New Series)
Vol 25. No. 4,
2020
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HK J Paediatr (New Series) 2020;25:211-216
Original Article
Is Hospital Admission Unnecessary After Successful Reduction in Paediatric Patients with Intussusception?
YJ Lim, KH Kim Department of Radiology, Inje University Haeundae Paik Hospital, 875 Haeundaero, Haeundaegu, Busan, Republic of Korea YJ Lim (林廷) MD, PhD Department of Surgery, Inje University Haeundae Paik Hospital, 875 Haeundaero, Haeundaegu, Busan, Republic of Korea KH Kim (金基薰) MD, PhD Correspondence to: Dr KH Kim Email: medhun@hanmail.net Received December 17, 2018
Abstract Purpose: This study aimed to describe demographic characteristics of hospitalised children with successful reduction of intussusception and their early outcomes, and assess the frequency of hospital-level interventions, to determine the necessity of hospitalisation through hospital-level intervention assessment. Methods: We conducted a retrospective review of children aged 0-18 years with ileocolic intussusception, who presented to emergency department between March 2010 and December 2017. Results: Sixty-three patients with successful reduction were included. Median patient age was 23 (7-75) months. Signs and symptoms of intussusception were currant jelly stool in 19 cases (30.2%), a palpable mass lesion in 15 (23.8%). Median length of stay was 2 (1-8) days. Intussusception recurrence during hospital admission occurred in 9 patients (14.3%). Of the 63, 25 (39.7%) received at least one intervention. Conclusions: Approximately 25% of patients underwent hospital-level radiologic studies to diagnose the possibility of recurrence during inpatient observation. Hospitalisation post-successful reduction may be helpful for early recurrence detection and prevention of post-reduction complications. Keyword : Hospitalisation; Intussusception; Pneumatic reduction; Recurrence Abstract in Chinese
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