The incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception in children: A retrospective analysis

Maadrika M. N. P. Kanglie; Nanko de Graaf; Femke Beije; Elise M. J. Brouwers; Sabine D. M. Theuns-Valks; Frits H. Jansen; Diederick B. W. de Roy van Zuidewijn; Bas Verhoeven; Rick R. Van Rijn; Roel Bakx; J. H. Allema; J. L. M. Bruggink; M. Y. Van Herwaarden; H. C. Holscher; W. M. Klein; R. A. J. Nievelstein; S. G. F. Robben; J. van Schuppen; J. I. L. M. Verbeke; R. Wijnen; Dutch Intussusception Group

doi:10.1016/j.jpedsurg.2018.05.006

The incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception in children: A retrospective analysis

Maadrika M. N. P. Kanglie, Nanko de Graaf, Femke Beije, Elise M. J. Brouwers, Sabine D. M. Theuns-Valks, Frits H. Jansen, Diederick B. W. de Roy van Zuidewijn, Bas Verhoeven, Rick R. Van Rijn, Roel Bakx^*, J. H. Allema, J. L. M. Bruggink, M. Y. Van Herwaarden, H. C. Holscher, W. M. Klein, R. A. J. Nievelstein, S. G. F. Robben, J. van Schuppen, J. I. L. M. Verbeke, R. WijnenDutch Intussusception Group

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background: There is a lack of studies addressing the occurrence of negative intraoperative findings (that is the absence of intussusception) after an unsuccessful hydrostatic reduction of an ileocolic intussusception. The aim of this study is to determine the incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception.

Methods: We conducted a multicentre retrospective study of all children aged 0-18 years treated for ileocolic intussusception from January 1, 2010 to December 31, 2015 in 9 Dutch hospitals. Primary outcome measure was the percentage of children without an intussusception during surgical exploration after unsuccessful hydrostatic reduction.

Results: In the study period 436 patients were diagnosed with an ileocolic intussusception. Of these, 408 patients underwent hydrostatic reduction of an ileocolic intussusception. 112 patients (27.5%) underwent surgery after an unsuccessful hydrostatic reduction. In 13 (11.6%) patients no intraoperative evidence of intussusception was found. Patients who underwent surgical intervention after unsuccessful hydrostatic reduction were significantly younger than patients who had a successful hydrostatic reduction: there was no gender difference.

Conclusion: A substantial number of children (11.6%) underwent a laparotomy after unsuccessful hydrostatic reduction in whom no intussusception was found intraoperatively. We suggest initiating laparoscopy instead of laparotomy when surgery is necessary. (C) 2018 Elsevier Inc. All rights reserved.

Original language	English
Pages (from-to)	500-506
Number of pages	7
Journal	Journal of Pediatric Surgery
Volume	54
Issue number	3
DOIs	https://doi.org/10.1016/j.jpedsurg.2018.05.006
Publication status	Published - Mar 2019

Keywords

Intussusception
Hydrostatic reduction
Negative intraoperative findings
Pediatric surgery
Laparotomy
Laparoscopy
PATHOLOGICAL LEAD POINTS
MANAGEMENT
ENEMA
LAPAROSCOPY
METAANALYSIS
AIR

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10.1016/j.jpedsurg.2018.05.006

Cite this

Kanglie, M. M. N. P., de Graaf, N., Beije, F., Brouwers, E. M. J., Theuns-Valks, S. D. M., Jansen, F. H., van Zuidewijn, D. B. W. D. R., Verhoeven, B., Van Rijn, R. R., Bakx, R., Allema, J. H., Bruggink, J. L. M., Van Herwaarden, M. Y., Holscher, H. C., Klein, W. M., Nievelstein, R. A. J., Robben, S. G. F., van Schuppen, J., Verbeke, J. I. L. M., ... Dutch Intussusception Group (2019). The incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception in children: A retrospective analysis. Journal of Pediatric Surgery, 54(3), 500-506. https://doi.org/10.1016/j.jpedsurg.2018.05.006

@article{5fb767f3509540f9ab2321a3d7d3e4e6,

title = "The incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception in children: A retrospective analysis",

abstract = "Background: There is a lack of studies addressing the occurrence of negative intraoperative findings (that is the absence of intussusception) after an unsuccessful hydrostatic reduction of an ileocolic intussusception. The aim of this study is to determine the incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception.Methods: We conducted a multicentre retrospective study of all children aged 0-18 years treated for ileocolic intussusception from January 1, 2010 to December 31, 2015 in 9 Dutch hospitals. Primary outcome measure was the percentage of children without an intussusception during surgical exploration after unsuccessful hydrostatic reduction.Results: In the study period 436 patients were diagnosed with an ileocolic intussusception. Of these, 408 patients underwent hydrostatic reduction of an ileocolic intussusception. 112 patients (27.5%) underwent surgery after an unsuccessful hydrostatic reduction. In 13 (11.6%) patients no intraoperative evidence of intussusception was found. Patients who underwent surgical intervention after unsuccessful hydrostatic reduction were significantly younger than patients who had a successful hydrostatic reduction: there was no gender difference.Conclusion: A substantial number of children (11.6%) underwent a laparotomy after unsuccessful hydrostatic reduction in whom no intussusception was found intraoperatively. We suggest initiating laparoscopy instead of laparotomy when surgery is necessary. (C) 2018 Elsevier Inc. All rights reserved.",

keywords = "Intussusception, Hydrostatic reduction, Negative intraoperative findings, Pediatric surgery, Laparotomy, Laparoscopy, PATHOLOGICAL LEAD POINTS, MANAGEMENT, ENEMA, LAPAROSCOPY, METAANALYSIS, AIR",

author = "Kanglie, {Maadrika M. N. P.} and {de Graaf}, Nanko and Femke Beije and Brouwers, {Elise M. J.} and Theuns-Valks, {Sabine D. M.} and Jansen, {Frits H.} and {van Zuidewijn}, {Diederick B. W. de Roy} and Bas Verhoeven and {Van Rijn}, {Rick R.} and Roel Bakx and Allema, {J. H.} and Bruggink, {J. L. M.} and {Van Herwaarden}, {M. Y.} and Holscher, {H. C.} and Klein, {W. M.} and Nievelstein, {R. A. J.} and Robben, {S. G. F.} and {van Schuppen}, J. and Verbeke, {J. I. L. M.} and R. Wijnen and {Dutch Intussusception Group}",

note = "Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",

year = "2019",

month = mar,

doi = "10.1016/j.jpedsurg.2018.05.006",

language = "English",

volume = "54",

pages = "500--506",

journal = "Journal of Pediatric Surgery",

issn = "0022-3468",

publisher = "W B Saunders Co-Elsevier Inc",

number = "3",

}

Kanglie, MMNP, de Graaf, N, Beije, F, Brouwers, EMJ, Theuns-Valks, SDM, Jansen, FH, van Zuidewijn, DBWDR, Verhoeven, B, Van Rijn, RR, Bakx, R, Allema, JH, Bruggink, JLM, Van Herwaarden, MY, Holscher, HC, Klein, WM, Nievelstein, RAJ, Robben, SGF, van Schuppen, J, Verbeke, JILM, Wijnen, R & Dutch Intussusception Group 2019, 'The incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception in children: A retrospective analysis', Journal of Pediatric Surgery, vol. 54, no. 3, pp. 500-506. https://doi.org/10.1016/j.jpedsurg.2018.05.006

The incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception in children: A retrospective analysis. / Kanglie, Maadrika M. N. P.; de Graaf, Nanko; Beije, Femke et al.
In: Journal of Pediatric Surgery, Vol. 54, No. 3, 03.2019, p. 500-506.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - The incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception in children

T2 - A retrospective analysis

AU - Kanglie, Maadrika M. N. P.

AU - de Graaf, Nanko

AU - Beije, Femke

AU - Brouwers, Elise M. J.

AU - Theuns-Valks, Sabine D. M.

AU - Jansen, Frits H.

AU - van Zuidewijn, Diederick B. W. de Roy

AU - Verhoeven, Bas

AU - Van Rijn, Rick R.

AU - Bakx, Roel

AU - Allema, J. H.

AU - Bruggink, J. L. M.

AU - Van Herwaarden, M. Y.

AU - Holscher, H. C.

AU - Klein, W. M.

AU - Nievelstein, R. A. J.

AU - Robben, S. G. F.

AU - van Schuppen, J.

AU - Verbeke, J. I. L. M.

AU - Wijnen, R.

AU - Dutch Intussusception Group

PY - 2019/3

Y1 - 2019/3

N2 - Background: There is a lack of studies addressing the occurrence of negative intraoperative findings (that is the absence of intussusception) after an unsuccessful hydrostatic reduction of an ileocolic intussusception. The aim of this study is to determine the incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception.Methods: We conducted a multicentre retrospective study of all children aged 0-18 years treated for ileocolic intussusception from January 1, 2010 to December 31, 2015 in 9 Dutch hospitals. Primary outcome measure was the percentage of children without an intussusception during surgical exploration after unsuccessful hydrostatic reduction.Results: In the study period 436 patients were diagnosed with an ileocolic intussusception. Of these, 408 patients underwent hydrostatic reduction of an ileocolic intussusception. 112 patients (27.5%) underwent surgery after an unsuccessful hydrostatic reduction. In 13 (11.6%) patients no intraoperative evidence of intussusception was found. Patients who underwent surgical intervention after unsuccessful hydrostatic reduction were significantly younger than patients who had a successful hydrostatic reduction: there was no gender difference.Conclusion: A substantial number of children (11.6%) underwent a laparotomy after unsuccessful hydrostatic reduction in whom no intussusception was found intraoperatively. We suggest initiating laparoscopy instead of laparotomy when surgery is necessary. (C) 2018 Elsevier Inc. All rights reserved.

AB - Background: There is a lack of studies addressing the occurrence of negative intraoperative findings (that is the absence of intussusception) after an unsuccessful hydrostatic reduction of an ileocolic intussusception. The aim of this study is to determine the incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception.Methods: We conducted a multicentre retrospective study of all children aged 0-18 years treated for ileocolic intussusception from January 1, 2010 to December 31, 2015 in 9 Dutch hospitals. Primary outcome measure was the percentage of children without an intussusception during surgical exploration after unsuccessful hydrostatic reduction.Results: In the study period 436 patients were diagnosed with an ileocolic intussusception. Of these, 408 patients underwent hydrostatic reduction of an ileocolic intussusception. 112 patients (27.5%) underwent surgery after an unsuccessful hydrostatic reduction. In 13 (11.6%) patients no intraoperative evidence of intussusception was found. Patients who underwent surgical intervention after unsuccessful hydrostatic reduction were significantly younger than patients who had a successful hydrostatic reduction: there was no gender difference.Conclusion: A substantial number of children (11.6%) underwent a laparotomy after unsuccessful hydrostatic reduction in whom no intussusception was found intraoperatively. We suggest initiating laparoscopy instead of laparotomy when surgery is necessary. (C) 2018 Elsevier Inc. All rights reserved.

KW - Intussusception

KW - Hydrostatic reduction

KW - Negative intraoperative findings

KW - Pediatric surgery

KW - Laparotomy

KW - Laparoscopy

KW - PATHOLOGICAL LEAD POINTS

KW - MANAGEMENT

KW - ENEMA

KW - LAPAROSCOPY

KW - METAANALYSIS

KW - AIR

U2 - 10.1016/j.jpedsurg.2018.05.006

DO - 10.1016/j.jpedsurg.2018.05.006

M3 - Article

C2 - 29866482

SN - 0022-3468

VL - 54

SP - 500

EP - 506

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

IS - 3

ER -