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ISSN 1025-0255 (Electronic)

2021, Number 3

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AMC 2021; 25 (3)

Relationship among location, length of symptoms and reducibility of intussusception in children

Hernández-Moore E Castelló-González M, Aguilar-Atanay D, López-Guerrero R, de-Mola-Pino EL

Language: Spanish
References: 28
Page: 405-417
PDF size: 695.68 Kb.


ABSTRACT

Background: it has been proposed that the location of intussusception in children is directly related to the length of symptoms, and that the more distal the intussusception is, the lower the rate of reduction.
Objective: to determine the relationship of the location of the intussusception with the length of symptoms and the reducibility.
Methods: a descriptive cross-sectional study was carried out in patients between three months and two years of age with intussusception at the Eduardo Agramonte Piña Provincial Pediatric Hospital in Camagüey, from January 2001 to December 2019. The universe of patients consisted of 257 children with intussusception treated by this method, including initial episodes and recurrences.The diagnosis was confirmed by ultrasound. Hydrostatic reduction with saline enemas and ultrasound guidance was attempted in all cases that met the inclusion criteria. The studied variables were: location of intussusception, length of symptoms and reducibility. Statistical decision methods were used in the modeling of the phenomenon under study to determine the statistical dependence / independence of the variables.
Results: the right colon was the most frequent location of the apex of intussusception. The most distal locations (left colon/sigmoid, rectum and prolapsed), although less frequent, it had a high percentage of reducibility. In these locations, reducibility was high both in patients in the first 24 hours of evolution and in those with 25 to 36 hours of onset of symptoms.
Conclusions: direct relationship between location of intussusception and length of symptoms and between location and reducibility was not found.


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