540 results match your criteria Pediatrics Intussusception


Incidence of intussusception in children less than five years of age: a pre-rotavirus vaccine survey from Iran, 2010-2015.

Med J Islam Repub Iran 2020 29;34:40. Epub 2020 Apr 29.

Pediatric Infections Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

The aim of this study was to determine the baseline statistics of intussusception in the under-five- year age group in Iran to facilitate the monitoring of potential side effects after administration of rotavirus vaccine. This hospital-based historical cohort study reviewed children under 60 months of age with the final diagnosis of intussusception, ICD-10 code K56.1, using census in all hospitals of Tehran, Iran from March 2010-2015. Read More

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http://dx.doi.org/10.34171/mjiri.34.40DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320972PMC

A case of Kawasaki disease with intussusception.

J Nippon Med Sch 2020 Jun 30. Epub 2020 Jun 30.

Department of Pediatrics, Nippon Medical School Hospital.

Kawasaki disease is a systemic vasculitis of unknown etiology and is known to be associated with various digestive disorders, though only a few cases of intussusception associated with Kawasaki disease have been reported. The case of a 3-year-old boy with intussusception followed by Kawasaki disease is reported. The patient was admitted to our hospital due to severe abdominal pain. Read More

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http://dx.doi.org/10.1272/jnms.JNMS.2020_87-606DOI Listing

Clinical Characteristics of 5 COVID-19 Cases With Non-respiratory Symptoms as the First Manifestation in Children.

Front Pediatr 2020 12;8:258. Epub 2020 May 12.

Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

An outbreak of the novel coronavirus disease 2019 (COVID-19) occurred in Wuhan, China, in December 2019, which then rapidly spread to more than 80 countries. However, detailed information on the characteristics of COVID-19 in children is still scarce. Five patients with non-respiratory symptoms as the first manifestation were hospitalized from the emergency department, and were later confirmed to have COVID-19, between 23 January and 20 February 2020, at the Wuhan Children's Hospital. Read More

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http://dx.doi.org/10.3389/fped.2020.00258DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235428PMC

Intussusception in children aged under two years in India: Retrospective surveillance at nineteen tertiary care hospitals.

Vaccine 2020 Jun 15. Epub 2020 Jun 15.

Bill and Melinda Gates Foundation, India Country Office, New Delhi, India. Electronic address:

Objective: Intussusception has been linked with rotavirus vaccine (RVV) as a rare adverse reaction. In view of limited background data on intussusception in India and in preparation for RVV introduction, a surveillance network was established to document the epidemiology of intussusception cases in Indian children.

Methods: Intussusception in children 2-23 months were documented at 19 nationally representative sentinel hospitals through a retrospective surveillance for 69 months (July 2010 to March 2016). Read More

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http://dx.doi.org/10.1016/j.vaccine.2020.04.059DOI Listing

Endoscopic Removal of a Single, Painless, Juvenile Polyp in the Small Intestine Causing Anemia.

J Pediatr Gastroenterol Nutr 2020 Jun 11. Epub 2020 Jun 11.

Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin, 53226, USA.

Juvenile polyps are the most common gastrointestinal polyps in childhood. Typically, they are located in the colon and present with intermittent and painless hematochezia. A few case reports have described juvenile polyps in the small intestine, all presenting as intussusception requiring surgery. Read More

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http://dx.doi.org/10.1097/MPG.0000000000002813DOI Listing

Paediatric Active Enhanced Disease Surveillance (PAEDS) 2017 and 2018: Prospective hospital-based surveillance for serious paediatric conditions.

Commun Dis Intell (2018) 2020 06 15;44. Epub 2020 Jun 15.

Director, National Centre for Immunisation Research and Surveillance, Kids Research Institute, The Children's Hospital at Westmead, New South Wales; Professor, Discipline of Child and Adolescent Health, University of Sydney, New South Wales; Staff Specialist, Department of Microbiology and Infectious Diseases, The Children's Hospital at Westmead, New South Wales.

Introduction: The Paediatric Active Enhanced Disease Surveillance (PAEDS) network is a hospital-based active surveillance system employing prospective case ascertainment for selected serious childhood conditions, particularly vaccine-preventable diseases and potential adverse events following immunisation (AEFI). This report presents surveillance data for 2017 and 2018.

Methods: Specialist nurses screened hospital admissions, emergency department (ED) records, laboratory and other data on a daily basis in seven paediatric tertiary referral hospitals across Australia to identify children with the conditions under surveillance. Read More

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http://dx.doi.org/10.33321/cdi.2020.44.49DOI Listing

Celiac disease: a rare cause of 'postoperative' ileoileal intussusception after surgical reduction of ileocolic intussusception in a toddler.

J Surg Case Rep 2020 May 1;2020(5):rjaa073. Epub 2020 Jun 1.

Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria.

Intussusception (IS) is defined as invagination of part of the bowel into an adjacent section of the intestines and is the second most common cause of small bowel obstruction in children. Postoperative ileoileal intussusception after surgical reduction is a special type of ileoileal intussusception and is considered idiopathic. This research paper examines the case of a female Syrian toddler who had been diagnosed with ileoileal intussusception after surgical reduction. Read More

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http://dx.doi.org/10.1093/jscr/rjaa073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263756PMC

Treatment Outcome of Acute Intussusception in Children Under Two Years of Age: A Prospective Cohort Study.

Cureus 2020 Apr 18;12(4):e7729. Epub 2020 Apr 18.

Department of Abdominal Emergency and Pediatric Surgery, Hue Central Hospital, Hue, VNM.

Background Intussusception is a common cause of small intestinal obstruction in children under two years of age. Late diagnosis can lead to a potentially worse condition. This prospective study aims to describe the clinical manifestation and develop a conservative management protocol for acute ileocaecal intussusception in children under two years of age. Read More

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http://dx.doi.org/10.7759/cureus.7729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234032PMC

Point-of-care ultrasound could be an effective alternative to radiology-performed imaging in the diagnosis of intussusception and pneumonia in children.

Arch Dis Child Educ Pract Ed 2020 May 15. Epub 2020 May 15.

Emergency Medicine, Royal Hospital for Children Glasgow, Glasgow, Glasgow, UK.

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http://dx.doi.org/10.1136/archdischild-2020-318868DOI Listing

Lactic acid level as an outcome predictor in pediatric patients with intussusception in the emergency department.

BMC Pediatr 2020 Apr 24;20(1):184. Epub 2020 Apr 24.

Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.

Background: Intussusception decreases blood flow to the bowel, and tissue hypoperfusion results in increased lactic acid levels. We aimed to determine whether lactic acid levels are associated with pediatric intussusception outcomes.

Methods: The electronic medical records of our emergency department pediatric patients diagnosed with intussusception, between January 2015 and October 2018, were reviewed. Read More

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http://dx.doi.org/10.1186/s12887-020-02095-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181481PMC

Meckel Diverticulum Presenting as Abdominal Pain and Subsequent Bowel Perforation.

J Emerg Med 2020 Apr 18. Epub 2020 Apr 18.

Department of Pediatrics, University of California, San Francisco, San Francisco, California; Department of Emergency Medicine, University of California, San Francisco, San Francisco, California.

Background: Abdominal pain is a common presenting symptom with a broad array of potential etiologies. Meckel diverticulum (MD), the most common congenital gastrointestinal malformation, classically presents with painless gastrointestinal bleeding. However, it can also lead to diverticulitis, intussusception, or obstruction, manifesting as abdominal pain. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.03.019DOI Listing

Jejuno-jejunal intussusception caused by a percutaneous endoscopic gastrojejunostomy tube in a pediatric patient: A case report.

Medicine (Baltimore) 2020 Apr;99(16):e19888

Department of Pediatrics.

Rationale: Although percutaneous endoscopic gastrojejunostomy (PEG-J) tubes are believed to reduce the side effect of aspiration, cautious catheter management is required. Intussusception is a serious complication of these tubes.

Patient Concerns: A 7-year-old boy bedridden with hypoxic encephalopathy owing to drowning at the age of 1 year was admitted our hospital with urinary retention for 1 month. Read More

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http://dx.doi.org/10.1097/MD.0000000000019888DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220696PMC

Point-of-care ultrasound may be useful for detecting pediatric intussusception at an early stage.

BMC Pediatr 2020 Apr 13;20(1):155. Epub 2020 Apr 13.

Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background: This study aimed to verify the usefulness of point-of-care ultrasound (POCUS) performed by pediatric emergency physicians for detecting intussusception at an early stage.

Methods: This retrospective study included 1-month- to 6-year-old children with clinically suspected intussusception, who underwent POCUS in the pediatric emergency department between December 2016 and February 2018. The criteria for performing POCUS were set to broader standards: presenting any one of intermittent abdominal pain/irritability or bloody stool, or ≥ 2 symptoms among nonspecific abdominal pain/irritability, abdominal mass/distension, vomiting, or lethargy. Read More

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http://dx.doi.org/10.1186/s12887-020-02060-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153228PMC

Arteriovenous malformation that caused prolapse of the colon and was treated surgically in an infant: a case report.

Surg Case Rep 2020 Apr 8;6(1):67. Epub 2020 Apr 8.

Department of Pediatric Surgery, Kanazawa Medical University, Ishikawa, Japan.

Background: Various terms have been used to describe vascular lesions in the intestine, including angiodysplasia, arteriovenous malformation, and telangiectasia. Such lesions are common in adults and are typified by angiodysplasia, a type of arteriovenous malformation. In contrast, these lesions are rarely seen in the pediatric population. Read More

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http://dx.doi.org/10.1186/s40792-020-00824-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142189PMC

Juvenile Polyposis Syndrome in a Young Girl from Northern Tanzania.

Case Rep Surg 2020 3;2020:1536090. Epub 2020 Mar 3.

Department of General Surgery, Kilimanjaro Christian Medical Center, PO Box, 3010 Moshi, Tanzania.

. Juvenile polyposis syndrome is a rare autosomal dominant disorder in children characterized by multiple polyps in the gastrointestinal tract. A variety of clinical features manifest, including prolapse of a polyp or entire rectum, gastrointestinal bleeding, anaemia, and intussusception. Read More

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http://dx.doi.org/10.1155/2020/1536090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073492PMC

Clinical outcome in pediatric refractory gastrointestinal Henoch-Schönlein purpura treated with mycophenolate mofetil.

Eur J Pediatr 2020 Mar 6. Epub 2020 Mar 6.

Department of Pediatrics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, 510120, People's Republic of China.

The aim of the present study was to investigate the clinical outcome of mycophenolate mofetil in pediatric refractory gastrointestinal (GI) Henoch-Schönlein purpura (HSP). Most of the HSP patients with GI symptoms may benefit from early introduction of glucocorticoid; however, a number of patients still do not achieve remission following the administration of steroids. Therefore, the present study was to investigate the clinical features and the clinical outcome of mycophenolate mofetil in refractory GI HSP. Read More

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http://dx.doi.org/10.1007/s00431-020-03592-wDOI Listing

Meconium peritonitis resulting from different etiologies in siblings: a case report.

BMC Pediatr 2020 Mar 5;20(1):106. Epub 2020 Mar 5.

Department of Surgery, Pusan National University Hospital, Busan, South Korea.

Background: Meconium peritonitis is defined as aseptic chemical inflammation caused by intrauterine bowel perforation. The underlying causes of bowel perforation include intestinal atresia, midgut volvulus, intussusception, congenital bands, and meconium ileus.

Case Presentation: Siblings with prenatally diagnosed meconium peritonitis of different etiologies were found. Read More

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http://dx.doi.org/10.1186/s12887-020-2016-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057448PMC

Intussusception: Sonographic Findings to Fluoroscopic Reduction in Pediatrics.

Authors:
Jenna N Laquerre

Radiol Technol 2020 Mar;91(4):380-384

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Recurrent lymphoma presenting as painless, chronic intussusception: A case report.

World J Clin Cases 2020 Jan;8(2):306-312

Division of Pediatric Gastroenterology, University of Mississippi Medical Center, Jackson, MS 39216, United States.

Background: The clinical presentation of acute lymphoblastic lymphoma is highly varied. While prognosis is good, recurrence of disease can occur. Gastrointestinal relapse, including intussusception, is well-described but the absence of abdominal pain in this setting is rare. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i2.306DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000947PMC
January 2020

Rotavirus vaccines in clinical development: Current pipeline and state-of-the-art.

Pediatr Allergy Immunol 2020 02;31 Suppl 24:58-60

Department of Pediatrics, V. Buzzi Children's Hospital, University of Milan, Milan, Italy.

Rotavirus (RV) disease is a leading cause of mortality and morbidity, especially in children under 5 years of age. The introduction of the two oral rotavirus vaccines Rotarix and RotaTeq has shown significant reductions in RV-related mortality, severe RV disease, and hospitalizations. However, some barriers, including a reduced efficacy in low-income countries, safety issues regarding the intussusception risk, age restrictions on vaccine use, the live-attenuated nature itself, and the substantial vaccine costs, currently restrict the full potential of RV disease prevention. Read More

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http://dx.doi.org/10.1111/pai.13167DOI Listing
February 2020

Sedative reduction method for children with intussusception.

Medicine (Baltimore) 2020 Jan;99(5):e18956

Department of Pediatrics, Chonbuk National University Medical School and Hospital, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, South Korea.

Intussusception is common emergency condition in children. Pneumatic or hydrostatic reduction (HR) is considered the first-choice management strategy in cases lacking indications for surgical intervention. Generally, sedatives are not used in children undergoing interventional radiology procedures. Read More

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http://dx.doi.org/10.1097/MD.0000000000018956DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004751PMC
January 2020

Gastroduodenal Intussusception Due to Gastric Mucosal Prolapse Polyp in a 2-Year-Old Child.

Fetal Pediatr Pathol 2020 Jan 27:1-7. Epub 2020 Jan 27.

Faculty of Medicine, Pediatric Surgery, Alexandria University, Alexandria, Egypt.

Gastroduodenal intussusception is an invagination of a portion of the stomach into the duodenum. It predominately occurs in adults. We present a gastroduodenal intussusception in an hypochromic microcytic anemic 2-year-old girl. Read More

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http://dx.doi.org/10.1080/15513815.2020.1716898DOI Listing
January 2020
0.398 Impact Factor

Altered Mental Status as the Primary Presentation of Intussusception in a 3-Month-Old Child Diagnosed by Point-Of-Care Ultrasonography.

J Emerg Med 2020 Feb 20;58(2):e87-e91. Epub 2020 Jan 20.

Department of Pediatrics at Jacobi Hospital, Albert Einstein College of Medicine, Bronx, New York.

Background: Intussusception can lead to significant morbidity in affected children secondary to tissue ischemia and necrosis. When a child outside of the classic age range presents with symptoms other than intermittent abdominal pain, the diagnosis of intussusception can be difficult and is often delayed.

Case Report: We present the case of a three-month-old boy who presented to the emergency department with waxing and waning mental status and seizure-like activity who was ultimately diagnosed with intussusception. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.11.042DOI Listing
February 2020

Impact of rotavirus vaccine on paediatric rotavirus hospitalisation and intussusception in New Zealand: A retrospective cohort study.

Vaccine 2020 02 27;38(7):1730-1739. Epub 2019 Dec 27.

Department of General Practice and Primary Health Care, School of Population Health, University of Auckland, Private Bag 92019, Victoria St West, Auckland 1142, New Zealand. Electronic address:

Background: Rotavirus results in a significant burden of hospitalisations and deaths globally. Rotavirus vaccine has been used in New Zealand since July 2014. The aim of this study was to assess the safety and effectiveness of RotaTeq® vaccine in New Zealand between 2006 and 2016. Read More

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http://dx.doi.org/10.1016/j.vaccine.2019.12.045DOI Listing
February 2020

Primary experience of small bowel polypectomy with balloon-assisted enteroscopy in young pediatric Peutz-Jeghers syndrome patients.

Eur J Pediatr 2020 Apr 21;179(4):611-617. Epub 2019 Dec 21.

Department of Gastroenterology, Air Force Medical Center, The Fourth Military Medical University, PLA, NO.30 Fucheng Road, Beijing, 100023, China.

For Peutz-Jeghers syndrome (PJS) patients, small bowel polyps develop and result in symptoms at an early age. Balloon-assisted enteroscopy (BAE) is verified as a safe and efficient choice to evaluate and remove small intestinal polyps in adult PJS. But the safety of BAE, especially BAE-facilitated polypectomy for young pediatrics, is little known. Read More

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http://dx.doi.org/10.1007/s00431-019-03534-1DOI Listing

Simultaneous intussusception associated with adenovirus infection in monozygotic twins: A case report.

Medicine (Baltimore) 2019 Dec;98(51):e18294

Department of Pediatrics, Cathay General Hospital, Taipei City.

Rationale: Intussusception, a common cause of intestinal obstruction in children, typically requires medical reduction. Here, we describe the case of a pair of twins who had simultaneous intussusception and were positive for fecal adenovirus-strongly indicating that adenovirus infection may be a main cause of the intussusception.

Patient Concerns: Two 1-year-old twin girls were brought to Cathay General Hospital one after another on the same day. Read More

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http://dx.doi.org/10.1097/MD.0000000000018294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940132PMC
December 2019

A 2-year-old with a hepatic abscess secondary to an ascending retrocecal appendicitis: case report and review of the literature.

Int J Emerg Med 2019 Dec 19;12(1):41. Epub 2019 Dec 19.

D.O. Assistant Clinical Professor, Beaumont Hospital, Botsford Campus, Teaching hospital of Michigan State University, Department of Emergency Medicine, Farmington Hills, MI, USA.

Background: Diagnosing appendicitis within the pediatric population can be challenging, whether it be a neonate with irritability or a toddler with flank pain. Symptoms may mimic a viral illness, constipation, urinary tract infection, or intussusception, all of which are more common in this age group when compared with appendicitis. While a ruptured appendicitis can result in an intra-abdominal abscess, peritonitis, and/or shock, the development of a pyogenic hepatic abscess is extremely rare. Read More

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http://dx.doi.org/10.1186/s12245-019-0260-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923966PMC
December 2019

Accuracy of Remote Interpretation of Pediatric Emergency Ultrasound Over Third Generation Networks Across Continents.

Pediatr Emerg Care 2020 Jun;36(6):e340-e342

From the Section of Emergency Medicine, Department of Pediatrics, School of Medicine, Yale University, New Haven, CT.

Objective: This study aimed to evaluate live-stream videos for evaluation of pediatric emergency medicine ultrasound using a third generation (3G) network.

Methods: The interrater reliability of a remote 3G network live-streaming assessment of ultrasound scans for abdominal free fluid, intussusception, and hip effusions was evaluated. Fifty-eight deidentified 6-second video clips in . Read More

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http://dx.doi.org/10.1097/PEC.0000000000001948DOI Listing

Infantile Abdominal and Pelvic Lipoblastomas: A Case Series.

European J Pediatr Surg Rep 2019 Jan 28;7(1):e104-e109. Epub 2019 Nov 28.

Division of Pediatric Surgery, Regina Margherita Children's Hospital, Turin, Italy.

Lipoblastomas are rare benign mesenchymal tumors that arise from embryonal fat cells. They are usually discovered in infants and children under 3 years of age, and mostly occur in the trunk (from 10 to 60%, depending on the study) and extremities (from 40 to 45%), while head and neck localizations are rare, with only five cases described to date. We report on three cases of lipoblastomas in infants younger than 4 years, with unusual localizations: one intra-abdominal, discovered during a laparotomy for an intussusception; one pelvic, misdiagnosed as an ovarian mass; and one gluteal with a pelvic extension. Read More

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http://dx.doi.org/10.1055/s-0039-1694060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882683PMC
January 2019

Infectious Etiologies of Intussusception Among Children <2 Years Old in 4 Asian Countries.

J Infect Dis 2020 Apr;221(9):1499-1505

Division of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Background: The etiology of intussusception, the leading cause of bowel obstruction in infants, is unknown in most cases. Adenovirus has been associated with intussusception and slightly increased risk of intussusception with rotavirus vaccination has been found. We conducted a case-control study among children <2 years old in Bangladesh, Nepal, Pakistan, and Vietnam to evaluate infectious etiologies of intussusception before rotavirus vaccine introduction. Read More

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http://dx.doi.org/10.1093/infdis/jiz621DOI Listing
April 2020
4 Reads
5.997 Impact Factor

Clinical Impact of the Introduction of Pediatric Intussusception Air Enema Reduction Technology in a Low- to Middle-Income Country Using Low-Cost Simulation-Based Medical Education.

Simul Healthc 2020 Feb;15(1):7-13

From the Department of Paediatric, Urology and Surgical Simulation Surgery (R.M.N., N.R.W., D.L. M.P., C.K.), Monash Children's Hospital; Department of Paediatrics (R.M.N., D.L., M.P.), School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia; and Department of Paediatric Surgery (Y.M.O., K.K.K., N.N.W., A.A.), Yangon Children's Hospital, Yangon, Myanmar.

Introduction: Pediatric intussusception is a common cause of bowel obstruction in infants. Air enema (AE) reduction is routine first-line management in many countries; however, there is a high rate of operative intervention in low- and middle-income countries. The aims of the study were to use simulation-based medical education with an intussusception simulator to introduce AE reduction to Myanmar and to assess its effect on provider behaviors and the resulting clinical care. Read More

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http://dx.doi.org/10.1097/SIH.0000000000000397DOI Listing
February 2020

Value of Fluoroscopic Defecography in Constipated Children With Abnormal Colon Transit Time Test Results.

J Neurogastroenterol Motil 2020 Jan;26(1):128-132

Departments of Pediatrics, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.

Background/aims: Colon transit time (CTT) test is regarded as the gold standard for evaluating colon transit function. Fluoroscopic defecography (FD) is a dynamic radiologic test to assess anorectal function. The aim is to evaluate the value of FD in constipated children with abnormal CTT test results. Read More

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http://dx.doi.org/10.5056/jnm18201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955200PMC
January 2020

Complications Following Nephron-Sparing Surgery for Wilms Tumor.

J Pediatr Surg 2020 Jan 26;55(1):126-129. Epub 2019 Oct 26.

Department of Surgery, St. Jude Children's Research Hospital, Memphis, TN; Division of Pediatric Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN. Electronic address:

Purpose: Because of the increasing use of nephron-sparing surgery (NSS) in bilateral Wilms tumor, we sought to review the early postoperative complications associated with NSS.

Methods: A retrospective review of patients who underwent NSS at our institution from 2000 to 2017 was performed. For comparison, a cohort of patients who underwent radical nephrectomy (RN) was also reviewed. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.09.066DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6989361PMC
January 2020

Parenterally Administered P24-VP8* Nanoparticle Vaccine Conferred Strong Protection against Rotavirus Diarrhea and Virus Shedding in Gnotobiotic Pigs.

Vaccines (Basel) 2019 Nov 6;7(4). Epub 2019 Nov 6.

Department of Biomedical Sciences and Pathobiology, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA 24060, USA.

Current live rotavirus vaccines are costly with increased risk of intussusception due to vaccine replication in the gut of vaccinated children. New vaccines with improved safety and cost-effectiveness are needed. In this study, we assessed the immunogenicity and protective efficacy of a novel P24-VP8* nanoparticle vaccine using the gnotobiotic (Gn) pig model of human rotavirus infection and disease. Read More

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http://dx.doi.org/10.3390/vaccines7040177DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963946PMC
November 2019

Management of recurrent ileocolic intussusception.

J Pediatr Surg 2019 Oct 24. Epub 2019 Oct 24.

Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.

Purpose: The aims of this study were to evaluate the need for surgical intervention for patients with recurrent ileocolic intussusception (RICI), especially for multiple recurrences, and to investigate whether early and late recurrence patterns were associated with surgery.

Methods: Patients with ileocolic intussusception (ICI) during the years 2007-2019 were included. Demographic data, recurrences, and outcomes were analyzed. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.09.039DOI Listing
October 2019

Imaging Acute Non-Traumatic Abdominal Pathologies in Pediatric Patients: A Pictorial Review.

J Radiol Case Rep 2019 Jul 31;13(7):29-43. Epub 2019 Jul 31.

Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon.

The dilemma of acute non-traumatic abdominal pathologies in the pediatric population depends on the age of the patients and symptoms. Surgical etiologies in patients younger than 2 years of age include intussusception, pyloric stenosis, malrotation and midgut volvulus. In older patients, considerations become closer to differential etiologies in adults including acute appendicitis. Read More

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http://dx.doi.org/10.3941/jrcr.v13i7.3443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738493PMC
July 2019
4 Reads

Risk Factors Associated With Increased Mortality From Intussusception in African Infants.

J Pediatr Gastroenterol Nutr 2020 01;70(1):20-24

Division of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Objectives: Morbidity and mortality from intussusception, the leading cause of bowel obstruction in infants, is higher in Africa than in other regions of the world, but the reasons have not been well examined. We sought to identify risk and protective factors associated with death or intestinal resection following intussusception.

Methods: Infants with intussusception from 7 sub-Saharan African countries (Ethiopia, Ghana, Kenya, Malawi, Tanzania, Zambia, and Zimbabwe) were enrolled through active, hospital-based surveillance from February 2012 to December 2016. Read More

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http://Insights.ovid.com/crossref?an=00005176-900000000-9634
Publisher Site
http://dx.doi.org/10.1097/MPG.0000000000002487DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6934903PMC
January 2020
11 Reads

Terminal Ileitis Presenting With a Spontaneously Reduced Ileocolic Intussusception Diagnosed by Point-of-Care Ultrasonography.

Pediatr Emerg Care 2020 Jan;36(1):e30-e32

Section of Pediatric Radiology, Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.

Point-of-care ultrasound can be used in the initial workup of ileocolic (IC) intussusception. In general, these lesions require immediate attention and reduction to prevent ischemic bowel injury. We discuss the case of a 27-month-old boy whose IC intussusception was found to spontaneously reduce before a radiology performed ultrasound and the planned air enema reduction procedure. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001879DOI Listing
January 2020

Pediatric Emergency Medicine Point-of-Care Ultrasound for the Diagnosis of Intussusception.

J Emerg Med 2019 Sep 9;57(3):367-374. Epub 2019 Aug 9.

Department of Pediatrics, University of Missouri-Kansas City School of Medicine and Division of Emergency Medicine, Children's Mercy Hospital, Kansas City, Missouri.

Background: Delayed diagnosis of intussusception can lead to air enema failure and increased morbidity. There are limited studies reporting the accuracy of pediatric emergency medicine (PEM) physician point-of-care ultrasound (POCUS) in diagnosing intussusception.

Objectives: The primary objective was to evaluate the accuracy of PEM POCUS in identifying ileocolic intussusception. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.06.007DOI Listing
September 2019
1 Read

Intussusception Protocol Implementation: Single-Site Outcomes With Clinician and Family Satisfaction.

J Surg Res 2019 12 5;244:122-129. Epub 2019 Jul 5.

Department of Surgery, University of Michigan, Michigan Medicine, Section of Pediatric Surgery, C.S. Mott Children's Hospital, Ann Arbor, Michigan. Electronic address:

Background: The objective of this study was to evaluate clinical outcomes, costs, and clinician and parent satisfaction after implementation of a protocol to discharge patients from the emergency department (ED) after successful reduction of uncomplicated ileocolic intussusception.

Materials And Methods: In March 2017, an intussusception management protocol was implemented for children presenting with ultrasound findings of ileocolic intussusception. Those meeting inclusion criteria were observed after successful radiological reduction in the ED and discharged after 6 h with resolution of symptoms. Read More

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http://dx.doi.org/10.1016/j.jss.2019.06.036DOI Listing
December 2019
8 Reads

Point-of-care ultrasound diagnosis of small bowel-small bowel vs ileocolic intussusception.

Am J Emerg Med 2019 09 18;37(9):1746-1750. Epub 2019 Jun 18.

Department of Pediatrics, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, United States of America; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, United States of America.

Background: Identification of intussusception is feasible with emergency department (ED) point-of-care ultrasound (PoCUS) due to its ease-of-use and high accuracy. Little is known about the clinical characteristics and outcomes of small bowel-small bowel intussusception (SB-SBI) relative to ileocolic intussusception (ICI) identified by PoCUS.

Methods: We conducted a retrospective cohort study at a single, tertiary care, urban pediatric ED of intussusception identified by PoCUS. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.06.024DOI Listing
September 2019
10 Reads

Characteristics of intussusception among children in Korea: a nationwide epidemiological study.

BMC Pediatr 2019 06 28;19(1):211. Epub 2019 Jun 28.

Department of Pediatrics, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, Seoul, 06973, Republic of Korea.

Background: Intussusception is a gastrointestinal condition in which early treatment is critical. Although its epidemiology and comorbidities have been studied, few studies have included the entire pediatric population of a country. Therefore, we aimed to analyze the epidemiologic features of pediatric intussusception patients and identify comorbidities associated with intussusception in South Korea, using the public health database. Read More

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http://dx.doi.org/10.1186/s12887-019-1592-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598253PMC
June 2019
10 Reads

Accuracy of point-of-care ultrasound and radiology-performed ultrasound for intussusception: A systematic review and meta-analysis.

Am J Emerg Med 2019 09 4;37(9):1760-1769. Epub 2019 Jun 4.

Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan. Electronic address:

Objective: It is unclear whether point-of-care ultrasound (POCUS) by emergency medicine physicians is as accurate as radiology-performed ultrasound (RADUS). We aim to summarize the diagnostic accuracy of ultrasonography for intussusception and to compare the performance between POCUS and RADUS.

Methods: Databases were searched from inception through February 2018 using pre-defined index terms. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.06.006DOI Listing
September 2019
6 Reads

High prevalence of obesity among infants presenting with intussusception: Findings in an Egyptian cohort.

Arab J Gastroenterol 2019 Jun 30;20(2):69-73. Epub 2019 May 30.

Department of Paediatrics, Faculty of Medicine, University of Alexandria, Alexandria, Egypt. Electronic address:

Background And Study Aims: Intussusception is a life-threatening illness, with incompletely understood aetiology, although some predisposing factors are known. Intussusception frequently occurs in well-nourished chubby infants. We aimed to determine whether patients presenting with intussusception have a high prevalence of obesity. Read More

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http://dx.doi.org/10.1016/j.ajg.2019.04.001DOI Listing
June 2019
79 Reads

Improving fluid resuscitation in pediatric shock with LifeFlow: a retrospective case series and review of the literature.

Open Access Emerg Med 2019 24;11:87-93. Epub 2019 Apr 24.

Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.

Rapid delivery of an intravenous fluid bolus is commonly used in pediatric emergency care for the treatment of shock and hypotension. Early fluid delivery targeted at shock reversal results in improved patient outcomes, yet current methods of fluid resuscitation often limit the ability of providers to achieve fluid delivery goals. We report on the early clinical experience of a new technique for rapid fluid resuscitation. Read More

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http://dx.doi.org/10.2147/OAEM.S188110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503651PMC
April 2019
10 Reads

Rapidly Progressive Small Bowel Necrosis in a Previously Healthy Child without Proven Mechanical Obstruction.

Pediatr Gastroenterol Hepatol Nutr 2019 May 23;22(3):291-297. Epub 2019 Apr 23.

Department of Pediatrics, Seoul Medical Center, Seoul, Korea.

Bowel ischemia is a life-threatening surgical emergency. We report a case of rapidly progressive bowel necrosis in a previously healthy child without proven mechanical small bowel obstruction. The definite diagnosis was established at the time of an exploratory operation. Read More

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http://dx.doi.org/10.5223/pghn.2019.22.3.291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6506427PMC
May 2019
12 Reads

Predictive model of heterotopy in Meckel's diverticulum in children.

ANZ J Surg 2019 Jun 8;89(6):E241-E245. Epub 2019 May 8.

Department of Paediatric Surgery, Children's Hospital, Patras, Greece.

Background: The presence of heterotopic tissue in Meckel's diverticulum (MD) increases the incidence of future complications. Based on this concept, this study aimed to detect clinical and morphological parameters able to predict the probability of heterotopy in incidentally discovered uncomplicated MD and to develop a risk-based classification tool.

Methods: The clinical records of 146 patients who underwent MD resection were reviewed. Read More

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http://dx.doi.org/10.1111/ans.15226DOI Listing
June 2019
8 Reads

Risk Factors for Recurrent Intussusception in Children: A Systematic Review and Meta-Analysis.

Front Pediatr 2019 16;7:145. Epub 2019 Apr 16.

Department of Pediatrics, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Intussusception is a common abdominal emergency in infancy and childhood, and the recurrence rate is reported to be up to 20%. Numerous potential risk factors for recurrence have been reported, although some of them are still controversial. The present study was conducted to identify the risk factors or predictive symptoms for recurrent intussusception in children who successfully recovered via enema reduction. Read More

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http://dx.doi.org/10.3389/fped.2019.00145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476919PMC
April 2019
11 Reads

Rare presentation of chronic ileocecal intussusception secondary to Burkitt's lymphoma in three years Sudanese boy: a case report and literature review.

Pan Afr Med J 2018 26;31:57. Epub 2018 Sep 26.

Pediatrics Department, College of Medicine, Bisha University, KSA.

A case report of chronic ileocecal intussusceptions in 3-years old Sudanese boy diagnosed as abdominal Burkett's lymphoma as leading point, who presented to his local hospital severely wasted with prolonged abdominal symptoms. Ultra sound and computed tomographic scan of his abdomen and pelvis with oral contrast confirmed intussusception. He was referred to pediatric surgical department and underwent laparotomy confirming ileocecal intussusception with resection of gangrenous part of his large and small bowel with end-to-end anastomosis. Read More

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http://dx.doi.org/10.11604/pamj.2018.31.57.14793DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431416PMC
April 2019
13 Reads

Identifying Predictive Factors for the Recurrence of Pediatric Intussusception.

Pediatr Gastroenterol Hepatol Nutr 2019 Mar 7;22(2):142-151. Epub 2019 Mar 7.

Department of Pediatrics, Keimyung University School of Medicine, Dongsan Medical Center, Daegu, Korea.

Purpose: The aim of the study was to identify factors related to the recurrence of intussusception in pediatric patients.

Methods: The medical charts of patients diagnosed with intussusception and treated at Dongsan Medical Center, between March 2015 to June 2017, were retrospectively reviewed. Univariate and multivariate analyses were performed. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.5223/pghn.2019.2
Publisher Site
http://dx.doi.org/10.5223/pghn.2019.22.2.142DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416386PMC
March 2019
21 Reads