Intussusception in children: International perspective

Donald E. Meier, C. Dale Coln, Frederick Rescorla, Akintayo Olaolorun, John L. Tarpley

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Fifty consecutive cases of children with intussusception treated at a hospital in a developing country were compared with 50 consecutive cases treated at an American inner city children's hospital and 50 consecutive cases treated at an American referral children's hospital. The plan was to recommend ways of improving the treatment of children with intussusception in the developing world. Nonoperative reduction was attempted in the two American hospitals but was not available in the developing world hospital where all children were treated operatively. Children in the developing world hospital had a significantly longer duration of symptoms, an increased incidence of nonviable bowel, and a mortality of 18%. There were no deaths in either American hospital. The poorer outcome for developing world children was related to delay in treatment, the higher incidence of nonviable bowel, and the lack of adequate nursing care for acutely ill children. The use of nonoperative reduction would not have significantly improved the mortality rate among the developing world children. The mortality can best be reduced by: (1) earlier recognition and treatment of the intussusception; and (23) improvement in the postanesthetic care with better monitoring leading to prompt recognition and treatment of postoperative complications.

Original languageEnglish
Pages (from-to)1035-1040
Number of pages6
JournalWorld Journal of Surgery
Volume20
Issue number8
DOIs
StatePublished - 1996

Fingerprint

Internationality
Intussusception
Mortality
Urban Hospitals
Incidence
Therapeutics
Nursing Care
Developing Countries
Referral and Consultation

ASJC Scopus subject areas

  • Surgery

Cite this

Meier, D. E., Dale Coln, C., Rescorla, F., Olaolorun, A., & Tarpley, J. L. (1996). Intussusception in children: International perspective. World Journal of Surgery, 20(8), 1035-1040. https://doi.org/10.1007/s002689900158

Intussusception in children : International perspective. / Meier, Donald E.; Dale Coln, C.; Rescorla, Frederick; Olaolorun, Akintayo; Tarpley, John L.

In: World Journal of Surgery, Vol. 20, No. 8, 1996, p. 1035-1040.

Research output: Contribution to journalArticle

Meier, DE, Dale Coln, C, Rescorla, F, Olaolorun, A & Tarpley, JL 1996, 'Intussusception in children: International perspective', World Journal of Surgery, vol. 20, no. 8, pp. 1035-1040. https://doi.org/10.1007/s002689900158
Meier, Donald E. ; Dale Coln, C. ; Rescorla, Frederick ; Olaolorun, Akintayo ; Tarpley, John L. / Intussusception in children : International perspective. In: World Journal of Surgery. 1996 ; Vol. 20, No. 8. pp. 1035-1040.
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