A retrospective cross-sectional study of nonsurgical management of childhood intussusception in a tertiary care hospital
Journal Title: Indian Journal of Child Health - Year 2017, Vol 4, Issue 2
Abstract
Objective: To describe the factors based on which nonsurgical management of acute intussusception may be undertaken. Methodology: A retrospective cross-sectional study was conducted by collecting data of all the children admitted in the pediatric ward of the hospital with radiologically confirmed intussusception between January 2016 and December 2016 from case files. A surgical consultation had been taken, and the children with no hemodynamic instability had been treated with gut rest, intravenous fluids, and sodium phosphate enema. Results: Total 25 cases were studied, and nonsurgical management was successful in 88% of these cases. Statistically significant association was found between younger age (p=0.033), shorter duration of symptoms at presentation (p=0.005), early initiation of treatment (p=0.001) and shorter hospital stay (p=0.002), and successful nonsurgical management of acute intussusception. Conclusion: Younger age, shorter duration of symptoms, and early initiation of management are significantly associated with successful nonsurgical management of acute intussusception. With the above results, risk stratification may be proposed for predicting successful nonsurgical management of acute intussusception.
Authors and Affiliations
Jayant Kumar Muduli, Meenakshi Mitra
Keywords
Related Articles
- EP ID EP454890
- DOI -
- Views 104
- Downloads 0
Holt-Oram syndrome in an infant presenting with heart failure
Holt-Oram syndrome is an autosomal dominant condition characterized by morphological abnormalities of upper limbs and congenital cardiac defects. We report a case of 6-week-old infant with morphological alterations of up...
Clinicoetiology profile of neonatal seizures in tertiary care Level II neonatal intensive care unit
Objective: To study the incidence, etiology, and pattern of neonatal seizures and its relationship with age of onset, gestation, and other obstetrical factors. Design: Prospective observational descriptive study. Setting...
Assessment of knowledge regarding breastfeeding mothers in the immediate postpartum period
Objectives: To assess the knowledge of mothers regarding breastfeeding in the immediate postpartum period. Materials and Methods: The study was conducted in a tertiary care teaching hospital. The postnatal mothers includ...
Acute leukemia after cytotoxic treatment in a child with nephrotic syndrome
Renal involvement in acute lymphoblastic leukemia (ALL) occurs due to several factors including leukemic infiltration of the kidneys, therapy-related side effects such as tumor lysis syndrome, nephrotoxic drugs, and sept...
Phototherapy induced hypocalcemia in neonates: A case–control prospective study
Objective: The objective of the study was to evaluate the adverse effects of phototherapy both total and ionic calcium levels in neonates. Methods: A case–control prospective study was conducted in the Department of Pedi...