The Analysis Study of Surgical Management of Intussusception : A Pediatric Surgery Systematic Review
Keywords:
child, intussusception, surgical managementAbstract
Background: Intussusception, a common abdominal emergency in children under three years of age, can lead to serious complications due to abnormal bowel movements, anatomical abnormalities, and infection. Surgical management is required if non-surgical reduction fails. Methods: This systematic review adheres to the PRISMA 2020 principles, focusing on full-text papers published in English between 2014 and 2024. Editorial and review articles without DOIs were removed to ensure that only high-quality sources were included. A comprehensive literature search was performed using major databases such as ScienceDirect, PubMed, and SagePub to uncover studies related to this research issue. Results: The database search identified over 1000 relevant publications, and eight were selected for in-depth analysis. Each study underwent rigorous critical appraisal to ensure quality and relevance, which formed the basis for a comprehensive review of the role of surgical management in the management of pediatric intussusception. Conclusions: Intussusception is a common condition in children under three years of age, with 85% of cases occurring during infancy. Surgical management is critical to the clinical outcome, with ultrasonography being the preferred diagnostic method. Secondary intussusception occurs in 1.5 to 15% of cases. In developing countries, surgical management is more common due to late diagnosis and limited access to radiological reduction methods.
References
Eng, P. M., Mast, T. C., Loughlin, J., Clifford, C. R., Wong, J., & Seeger, J. D. (2011). Incidence of Intussusception Among Infants in a Large Commercially Insured Population in the United States. The Pediatric Infectious Disease Journal, 31(3), 287–291. https://doi.org/10.1097/inf.0b013e31824213b1
Ntoulia, A., Tharakan, S. J., Reid, J. R., & Mahboubi, S. (2016). Failed Intussusception Reduction in Children: Correlation Between Radiologic, Surgical, and Pathologic Findings. American Journal of Roentgenology, 207(2), 424–433. https://doi.org/10.2214/ajr.15.15659
McRae, JE, Quinn, HE, Saravanos, GL, Carlson, SJ, Britton, PN, Crawford, NW, Wood, NJ, Marshall, HS, Macartney, KK, & Pediatric Active Enhanced Disease Surveillance (PAEDS) network (2020 ). Pediatric Active Enhanced Disease Surveillance (PAEDS) 2017 and 2018: Prospective hospital-based surveillance for serious pediatric conditions. Communicable diseases intelligence (2018), 44, 10.33321/cdi.2020.44.49. https://doi.org/10.33321/cdi.2020.44.49
Shen, G., Liu, H., Guan, Z., Shang, X., Li, J., Zhang, C., Zhang, J., Liu, Y., & Hu, Q. (2020) . Clinical features and factors leading to early recurrence of intussusception after saline reduction. JPMA. The Journal of the Pakistan Medical Association, 70(10), 1727–1730. https://doi.org/10.5455/JPMA.21744
Das, M.K., Arora, N.K., Mathai, J., Sam, C.J., G, R., R, K., K, J., Arunachalam, P., & Gupta, B. (2021). Profile and Epidemiology of Intussusception in Children Under-Two Years of Age: A Prospective Surveillance. Indian journal of paediatrics, 88(12), 1187–1194. https://doi.org/10.1007/s12098-021-03776-8
Kim, PH, Hwang, J., Yoon, HM, Lee, JY, Jung, AY, Lee, JS, & Cho, YA (2021). Predictors of failed enema reduction in children with intussusception: a systematic review and meta-analysis. European radiology, 31(11), 8081–8097. https://doi.org/10.1007/s00330-021-07935-5
Jain S, Haydel MJ. Child Intussusception. [Updated 2023 Apr 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431078/
Coca Robinot, D., Liébana de Rojas, C., & Aguirre Pascual, E. (2016). Abdominal emergencies in pediatrics. Urgencias abdominales en pediatrica. Radiologia, 58 Suppl 2, 80–91. https://doi.org/10.1016/j.rx.2016.02.003
Rice-Townsend, S., Chen, C., Barnes, J. N., & Rangel, S. J. (2013). Variation in practice patterns and resource utilization surrounding management of intussusception at freestanding Children's Hospitals. Journal of Pediatric Surgery, 48(1), 104–110. https://doi.org/10.1016/j.jpedsurg.2012.10.025
Gluckman, S., Karpelowsky, J., Webster, A.C., & McGee, R.G. (2017). Management for intussusception in children. Cochrane Library, 2017(6). https://doi.org/10.1002/14651858.cd006476.pub3
Xie, X., Wu, Y., Wang, Q., Zhao, Y., Chen, G., & Xiang, B. (2017). A randomized trial of pneumatic reduction versus hydrostatic reduction for intussusception in pediatric patients. Journal of Pediatric Surgery, 53(8), 1464–1468. https://doi.org/10.1016/j.jpedsurg.2017.08.005
Geltzeiler, C.B., Sims, T.L., & Zigman, A.F. (2015). LAHRI: Laparoscopic-Assisted Hydrostatic Reduction of Intussusception. Journal of laparoendoscopic & advanced surgical techniques. Part A, 25(9), 763–766. https://doi.org/10.1089/lap.2014.0283
Benedict, L.A., Ha, D., Sujka, J., Sobrino, J.A., Oyetunji, T.A., St. Peter, S.D., & Fraser, J.D. (2018). The Laparoscopic Versus Open Approach for Reduction of Intussusception in Infants and Children: An Updated Institutional Experience. Journal of laparoendoscopic & advanced surgical techniques. Part A, 28(11), 1412–1415. https://doi.org/10.1089/lap.2018.0268
Ghritlaharey, R. K. (2021). Surgical Management of Intussusception in Children: A Retrospective Review of 212 Cases. Annals of the National Academy of Medical Sciences (India), 57, 226–231. https://doi.org/10.1055/s-0041-1739034
Kelley-Quon, LI, Arthur, LG, Williams, RF, Goldin, AB, St Peter, SD, Beres, AL, Hu, YY, Renaud, EJ, Ricca, R., Slidell, MB, Taylor, A. , Smith, C.A., Miniati, D., Sola, J.E., Valusek, P., Berman, L., Raval, M.V., Gosain, A., Dellinger, M.B., Sømme, S., … Kawaguchi, A. (2021). Management of intussusception in children: A systematic review. Journal of pediatric surgery, 56(3), 587–596. https://doi.org/10.1016/j.jpedsurg.2020.09.055
Wang, H., Li, H., Xin, W., Xu, L., Zhang, G., & Yan, Q. (2022). Surgical treatment of recurrent intussusception induced by intestinal lymphoid hyperplasia in a child: is bowel resection always necessary? A case report. BMC surgery, 22(1), 169. https://doi.org/10.1186/s12893-022-01608-w
Zhao, J., Sun, J., Li, D., & Xu, W. J. (2022). Laparoscopic versus open reduction of idiopathic intussusception in children: an updated institutional experience. BMC pediatrics, 22(1), 44. https://doi.org/10.1186/s12887-022-03112-9
Attoun, MA, Albalawi, SMD, Ayoub, A., Alnasser, AK, Alkaram, EH, Khubrani, FA, Alzahrani, KJ, Alatawi, KA, Almutairi, N., & Alnami, AG (2023). The Management of Intussusception: A Systematic Review. Cureus, 15(11), e49481. https://doi.org/10.7759/cureus.49481
Yang, J., Wang, G., Gao, J., Zhong, X., Gao, K., Liu, Q., Nan, G., Yan, C., Chen, G., Lu, P ., & Guo, C. (2024). Liberal surgical laparoscopy reduction for acute intussusception: experience from a tertiary pediatric institute. Scientific reports, 14(1), 457. https://doi.org/10.1038/s41598-023-50493-7
Hsiao, C.C., Tsao, LY, & Lai, C.H. (2013). Nationwide population-based epidemiologic study of childhood and adulthood intussusception in Taiwan. Pediatrics and neonatology, 54(3), 188–193. https://doi.org/10.1016/j.pedneo.2013.01.004
Clark, A.D., Hasso-Agopsowicz, M., Kraus, M.W., Stockdale, L.K., Sanderson, C.F.B., Parashar, U.D., & Tate, J.E. (2019). Update on the global epidemiology of intussusception: a systematic review of incidence rates, age distributions and case-fatality ratios among children aged <5 years, before the introduction of rotavirus vaccination. International journal of epidemiology, 48(4), 1316–1326. https://doi.org/10.1093/ije/dyz028
Simon, N.M., Joseph, J., Philip, R.R., Sukumaran, TU, & Philip, R. (2019). Intussusception: Single Center Experience of 10 Years. Indian pediatrics, 56(1), 29–32.
Takeuchi, M., Osamura, T., Yasunaga, H., Horiguchi, H., Hashimoto, H., & Matsuda, S. (2012). Intussusception among Japanese children: an epidemiologic study using an administrative database. BMC pediatrics, 12, 36. https://doi.org/10.1186/1471-2431-12-36
Trigylidas, T. E., Hegenbarth, M. A., Patel, L., Kennedy, C., O'Rourke, K., & Kelly, J. C. (2019). Pediatric Emergency Medicine Point-of-Care Ultrasound for the Diagnosis of Intussusception. The Journal of emergency medicine, 57(3), 367–374. https://doi.org/10.1016/j.jemermed.2019.06.007
Fahiem-Ul-Hassan, M., Mufti, GN, Bhat, NA, Baba, AA, Buchh, M., Wani, SA, Banday, S., Magray, M., Nayeem, A., & Iqbal, S. (2020). Management of Intussusception in the Era of Ultrasound-Guided Hydrostatic Reduction: A 3-Year Experience from a Tertiary Care Center. Journal of the Indian Association of Pediatric Surgeons, 25(2), 71–75. https://doi.org/10.4103/jiaps.JIAPS_208_18
Wong, C. W., Jin, S., Chen, J., Tam, P. K., & Wong, K. K. (2016). Predictors for bowel resection and the presence of a pathological lead point for operated childhood intussusception: A multi-center study. Journal of pediatric surgery, 51(12), 1998–2000. https://doi.org/10.1016/j.jpedsurg.2016.09.033
Menke, J., & Kahl, F. (2015). Sonography-guided hydrostatic reduction of ileocolic intussusception in children: analysis of failure and success in consecutive patients presenting timely to the hospital. European journal of paediatrics, 174(3), 307–316. https://doi.org/10.1007/s00431-014-2394-3
Banapour, P., Sydorak, R. M., & Shaul, D. (2015). Surgical approach to intussusception in older children: influence of lead points. Journal of pediatric surgery, 50(4), 647–650. https://doi.org/10.1016/j.jpedsurg.2014.09.078
Carapinha, C., Truter, M., Bentley, A., Welthagen, A., & Loveland, J. (2016). Factors determining clinical outcomes in intussusception in the developing world: Experience from Johannesburg, South Africa. South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 106(2), 177–180. https://doi.org/10.7196/SAMJ.2016.v106i2.9672
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