Evidence map›Paper›PMID 35821554›Full record

ArticleIndian journal of pediatrics2023

Intussusception Management in Children: A 15-Year Experience in a Referral Center.

Carlos Delgado-Miguel, Antonella García, Bonifacio Delgado, Antonio J Muñoz-Serrano, Miriam Miguel-Ferrero, Saturnino Barrena, Manuel López-Santamaría, Leopoldo Martínez

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In one paragraph

Article in Indian journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06365333 (Pneumatic Reduction For Intussusception In Children), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT06365333 completednot on this map

Pneumatic Reduction For Intussusception In Children: A Retrospective Cohort Study In An Ultrahigh Volume Center

TypeobservationalSponsorNational Children's Hospital, VietnamRan2016 to 2024Enrolled3,562ConditionsIntussusceptionArmsFluoroscopic-guided air-enema reduction (FGAR)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Carlos Delgado-MiguelDepartment of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain. carlosdelgado84@hotmail.com.ORCID 0000-0002-4994-6898
Antonella GarcíaSchool of Medicine, Autonomous University of Madrid, Madrid, Spain.
Bonifacio DelgadoDepartment of Mathematics, Complutense University of Madrid, Madrid, Spain.
Antonio J Muñoz-SerranoDepartment of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain.
Miriam Miguel-FerreroDepartment of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain.
Saturnino BarrenaDepartment of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain.
Manuel López-SantamaríaDepartment of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain.
Leopoldo MartínezDepartment of Pediatric Surgery, La Paz Children's Hospital, Paseo de la Castellana 261, Madrid, 28046, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report a 15-y, single-center experience in the management and outcomes of ileocolic intussusception (ICI) episodes.

methodsA retrospective study was performed in patients with ICI episodes, who were treated at a single quaternary referral center from 2005 to 2019. Data evaluated included patient demographics, clinical presentation, treatment modalities, hospital stay, complications, and outcomes.

resultsA total of 546 ICI episodes (66.1% males) were included, with a median age at diagnosis of 15 mo. Enema reduction was performed in 478 patients (87.6%), with an overall success rate of 85.8%. Hydrostatic saline enema was the most effective method (89.3%) when compared to pneumatic (80.6%) or barium enema (79.8%), this difference being statistically significant (p = 0.031). No associated complications were observed during nonoperative reduction. Surgical treatment was performed in 101 patients, in whom 36 bowel resections were performed. Postoperative complications were reported in 6 patients (5.9%). Hospital stay was significantly longer in patients with operative management (median 5 d vs. 1 d; p < 0.001).

conclusionsNonoperative management has a high overall success rate and low complication and recurrence rates. Saline enema reduction presents the highest effectiveness, and should be considered the first-line treatment.

Indexed as

Ileal DiseasesIntussusceptionChildEnemaFemaleHumansInfantMalePostoperative ComplicationsRecurrenceRetrospective StudiesTreatment OutcomeChildrenEnema reductionIleocolic intussusceptionSurgical treatment

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Registered trials

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.