Document Detail


Recurrent intussusception in infants.
MedLine Citation:
PMID:  21435072     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  Clinical features to identify infants at increased risk of recurrence after a primary episode of intussusception (IS) are poorly defined. Methods:  Prospective study of the clinical presentation, treatment and outcome in infants <2 years presenting with acute IS to the National Hospital of Pediatrics, Hanoi, over a 14-month period (1 November 2002 to 31 December 2003). A retrospective review of medical records was performed to verify complete patient ascertainment. Results:  Five hundred ninety-eight children were recruited, including 513 (86%) with a primary episode only and 53 (9%) with ≥1 recurrent episodes. Another 32 (5%) infants presented with recurrent IS, but the primary episode of IS occurred outside the study period. Estimated recurrence risk at 6 months following a primary episode was 14%. A pathological lead point was rare in primary (n= 1) and recurrent IS (n= 1). Most infants were successfully treated with enema reduction. Conclusions:  This study describes the natural history of recurrent IS in infants and may assist in interpreting data from post-marketing surveillance following introduction of rotavirus vaccines.
Authors:
Frances A Justice; Liem T Nguyen; Son N Tran; Carl D Kirkwood; Ngo Thi Thi; John B Carlin; Julie E Bines
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-22
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  -     ISSN:  1440-1754     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Journal of Paediatrics and Child Health © 2011 Paediatrics and Child Health Division (Royal Australasian College of Physicians).
Affiliation:
Murdoch Childrens Research Institute Clinical Epidemiology and Biostatistics Unit Departments of Gastroenterology and Clinical Nutrition, Royal Children's Hospital, Melbourne Department of Paediatrics, University of Melbourne, Parkville, Victoria, AustraliaDepartments of Surgery Microbiology, National Hospital of Paediatrics, Hanoi, Vietnam.
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