The Relationship between the Duration of Onset of Symptoms and the Size of the Intussusception with Successful Placement of the Normal Saline in Children

Document Type : Original Article(s)

Authors

1 Medical Student, Department of Surgery, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran

2 Assistant Professor, Department of Surgery, School of Medicine, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran

3 Associate Professor, Department of Surgery, School of Medicine, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran

4 Associate Professor, Department of Community Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran

10.48305/jims.v41.i750.1177

Abstract

Background: Intussusception is one of the most common causes of acute abdomen in children. Pediatric surgery centers commonly use barium enemas to treat intussusception. The present study aims to determine the relationship between the time elapsed since the onset of symptoms and the size of intussusception with successful placement with normal saline enema under ultrasound guidance in children.
Methods: The statistical population included all patients referred to Fatemi Ardabil Hospital for treatment from October 2019 to September 2020 with the diagnosis of intussusception. A total of 144 patients were extracted from the HIS system of the hospital. T-test, Square-Chi, and ANOVA tests were used for data analysis, and the logistic regression test was used for multivariate analysis. The p-value values less than 0.05 were considered significant.
Findings: The mean and standard deviation of the age of the participants in the study was 16.8 ± 7.8 months. 80.6% of patients out of 144 patients had successful enemas, and 3.4% had symptoms of disease recurrence. The success rate of normal saline enema was not significantly related to age and gender as well as initial symptoms of the disease. However, the time elapsed since the onset of symptoms and the size of intussusception had a significant relationship.
Conclusion: Attention to the size of intussusception and quick and correct diagnosis of children with it and normal saline enema as an effective treatment method and, barium enema can be useful for treating intussusception in children.

Highlights

Mir Salim Seyedsadeghi: Google Scholar

Iraj Feyzi: Google Scholar

Afshan Sharghi: Google Scholar

Keywords

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References

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Journal of Isfahan Medical School
Volume 41, Issue 750
March and April 2024
Pages 1177-1183

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History

  • Receive Date: 16 March 2023
  • Accept Date: 16 March 2024

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