Evidence map›Paper›PMID 40994734›Full record

ArticlePain reports2025

Pain-related distress in children undergoing air enema reduction for ileocolic intussusception: a proof-of-concept case series.

Nachshon Buchshtav, Lea Ohana Sarna Cahan, Neta Cohen, Maor Chavkin, Itai Shavit

Abstract read
In one paragraph

Article in Pain reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Nachshon BuchshtavPediatric Emergency Department, Ha'Emek Medical Center, Afula, Israel.
Lea Ohana Sarna CahanDepartment of Pediatric Emergency Medicine, Hadassah Medical Center, Jerusalem, Israel.
Neta CohenPediatric Emergency Department, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Maor ChavkinDepartment of Pediatric Emergency Medicine, Hadassah Medical Center, Jerusalem, Israel.
Itai ShavitFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Ileocolic intussusception is a leading cause of acute intestinal obstruction among young children. The standard of care treatment is air enema reduction under fluoroscopic guidance. The pain and distress that might be related to this invasive procedure have not been previously investigated. Objectives: We report on pain-related distress observed in 5 children undergoing air enema reduction for ileocolic intussusception. Methods: A convenience sample of emergency department patients was assessed using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale conducted at 8 predetermined points throughout the procedure. The staff responsible for the procedure independently recorded their Visual Analog Scale applied by an observer assessment upon procedure completion. Results: In this sample of children with a median age of 10 months (interquartile range 9-11 months), air enema reduction succeeded on the third attempt in 2 patients, the second attempt in 2 others, and the first attempt in 1 patient. The 4 patients who underwent reduction without sedation or analgesia had first-attempt FLACC scores ranging from 6 to 9, with all maximum scores occurring during air insufflation. Conclusion: Patients experienced considerable pain-related distress during air enema reduction. These preliminary results represent the first report of pain and distress in children undergoing reduction of intussusception and call for a larger-scale study.

Indexed as

Air enemaChildDistressIntussusceptionPainReduction

Identifiers

PMID40994734
PMCPMC12456500

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.