Management of intussusception in children: A systematic review.
enema
intussusception
outpatient
surgery
Journal
Journal of pediatric surgery
ISSN: 1531-5037
Titre abrégé: J Pediatr Surg
Pays: United States
ID NLM: 0052631
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
01
04
2020
revised:
30
08
2020
accepted:
24
09
2020
pubmed:
8
11
2020
medline:
27
5
2021
entrez:
7
11
2020
Statut:
ppublish
Résumé
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) TYPE OF STUDY: Systematic Review of level 1-4 studies.
Identifiants
pubmed: 33158508
pii: S0022-3468(20)30704-1
doi: 10.1016/j.jpedsurg.2020.09.055
pmc: PMC7920908
mid: NIHMS1635234
pii:
doi:
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
587-596Subventions
Organisme : NCATS NIH HHS
ID : KL2 TR001854
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
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