Table of Contents

HK J Paediatr (New Series)
Vol 25. No. 4, 2020

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


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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