Open AccessTherapeutic approach to children’s intussusception at late hospitalization
Author(s) -
Mikhail Belyaev,
K. K. Fyodorov
Publication year - 2003
Publication title -
bûlletenʹ sibirskoj mediciny
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 3
eISSN - 1819-3684
pISSN - 1682-0363
DOI - 10.20538/1682-0363-2003-2-72-77
Subject(s) - medicine , intussusception (medical disorder) , peritonitis , stage (stratigraphy) , conservative treatment , surgery , pediatrics , paleontology , biology
The goal of the investigation was to define whether conservative disinvagination would be safe and effective for long children’s intussusception. 368 children of 1 month to 13 years old age with intussusception have been treated in Novokuznetsk’ pediatric surgery clinic for a period from 1976 up to 2001. The number of boys was 248 (67,4%) and girls — 120 (32,6%) respectively. Patients of the age up to 1 year old were 185 (50,3%), older than 1 year — 183 (49,7%). 214 patients (58,2%) were hospitalized during the first 12 hours from the disease began, 71 patients (19,3%) — during 12—24 hours, 48 patients (13%) — during 24—48 hours, 35 patients (9,5%) — after 48 hours. In our clinic the method of conservative intussusception therapy is considered to be the priority and its application, if there are no any abdominal cavity complications (peritonitis), does not depend on introducing form, patients’ age, time period of hospitalization following the disease or recurrence beginning. The bloodless therapy has been found to be effective: the 1th stage — 93,2%, the 2nd stage — 93%, the 3d stage — 86,4% and the 4th stage — 91,7%. Thus, our facts earnestly prove both the potential of bloodless intussusception treatment method for children at late hospitalization (after 24 hours) and its safety and high efficiency (88,3%).