Evidence map›Paper›PMID 30463518›Full record

ArticleBMC emergency medicine2018

Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study.

Ademola Olusegun Talabi, Olusola Comfort Famurewa, Kayode Taiwo Bamigbola, Oludayo Adedapo Sowande, Babalola Ishmael Afolabi, Olusanya Adejuyigbe

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ademola Olusegun TalabiDepartment of Surgery, Obafemi Awolowo University, P. O. BOX 5538, Ile-Ife, Osun State, Nigeria. ademolatalabi1608@gmail.com.
Olusola Comfort FamurewaDepartment of Radiology, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Kayode Taiwo BamigbolaDepartment of Surgery, Federal Medical Centre, Owo, Ondo State, Nigeria.
Oludayo Adedapo SowandeDepartment of Surgery, Obafemi Awolowo University, P. O. BOX 5538, Ile-Ife, Osun State, Nigeria.
Babalola Ishmael AfolabiDepartment of Radiology, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Olusanya AdejuyigbeDepartment of Surgery, Obafemi Awolowo University, P. O. BOX 5538, Ile-Ife, Osun State, Nigeria.
Obafemi Awolowo University · NGFederal Medical Centre · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of childhood intussusception in our sub-region is still via surgical intervention. Currently, the gold standard of treatment is non-operative reduction. We sought to assess the suitability of hydrostatic (saline) reduction of intussusception in children in our institution. MATERIALS AND

methodsA prospective study was conducted between January 2016 and June 2017 in all children with ultrasound confirmed intussusception at a tertiary teaching hospital in Nigeria. All children excluding those with signs of peritonitis, bowel gangrene and intestinal prolapse were selected for ultrasound-guided hydrostatic reduction (USGHR). We allowed a maximum of three attempts at reduction.

resultsThe age range was 3 months to 48 months with a mean of 10.8 ± 9.1 months. Forty percent (N = 18) presented after 24 h of onset of symptoms. The success rate of hydrostatic reduction with saline enema was 84.4% (N = 38). Two (4.4%) perforations occurred during the procedure. Three (7.5%) patients had recurrent intussusception within six months. The duration of symptoms greater than 24 h, age and sex of patients did not influence successful reduction p > 0.05. The duration of admission between those who had successful non-operative reduction and those who subsequently had operative reduction and or resection attained statistical significant difference, p = 0.001. There was no mortality. We achieved a 68% decrease in the operative reduction of intussusception using USGHR as the primary modality of treatment.

conclusionOur study found out that USGHR is a suitable alternative for the treatment of childhood intussusception.

Indexed as

Saline SolutionUltrasonographyChild, PreschoolEnemaFemaleHospitals, TeachingHumansInfantIntussusceptionMaleNigeriaProspective StudiesSaline SolutionChildhood intussusceptionHydrostatic reductionSalineUltrasound-guided

Identifiers

PMID30463518
PMCPMC6249894
OpenAlexW2901581143

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.