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Retrospective Surveillance over 11 Years for Intussusception in Children Younger than 14 Years in the State of Qatar

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Open Journal of Pediatrics 2014年第1期4卷 1-11页

作者： Tariq O. Abbas noora alshahwani Gaby Jabbour Mansour Ali Department of Pediatric Surgery Hamad General Hospital Doha Qatar

Background: Accurate estimates of the baseline incidence of childhood intussusception could help safety monitoring after introduction of rotavirus vaccines. Therefore, we studied the incidence of intussusception in the state ofQatar. Methods: We retrospectively reviewed cases of intussusception in children younger than 14 years. Children were treated between 2002 and 2012 at a single hospital inQatar. We analyzed information according to age, sex, clinical signs, diagnostic- and treatment-related characteristics, and length of stay. We calculated the national incidence of intussusception using census data. Results: A total of 106 children were diagnosed and treated for intussusception over 11 years. The male to female ratio of intussusception was 1.4:1. The most common symptom was bleeding per rectum (37%). One hundred andfour children with intussusception underwent diagnostic and therapeutic contrast enema, and 31.7% of patients underwent operative management. The length of stay was longer in patients who underwent operative reduction thanthat in those who did not. Conclusions: This is the first study to estimate the incidence of childhood intussusception prior to introduction of rotavirus vaccination in Qatar. A prospective surveillance system using a standardized case definition would be useful for examining the occurrence of intussusception in theArabicGulfarea and developing countries.

关键词： Children Intussusception Surgical Reduction Therapeutic Contrast Enema

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Factors determining operative reduction in intussusception in children aged less than fourteen years

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Open Journal of Pediatrics 2013年第3期3卷 286-289页

作者： Tariq O. Abbas noora alshahwani Gaby Jabbour Mansour Ali Department of Pediatric Surgery Hamad General Hospital Doha Qatar

Aim: To delineate the factors associated with operative reduction of intussusception, in contrast to enema reduction only without surgical intervention, in children aged less than 14 years. Methods: We retrospectively reviewed the records of all children aged <14 years who experienced intussusception between 2002 and 2012 and were treated at a single hospital in Qatar. Clinical outcomes were correlated with age, sex, clinical symptoms, diagnosticand treatmentrelated characteristics, and length of hospital stay. Results: A total of 141 children were diagnosed and treated for intussusception over 11 years. The male to female ratio of intussusception was 1.4:1. The length of hospital stay was longer in patients who underwent operative reduction than those that did not. Conclusion: Delay in presentation did not decrease the success of radiologic reduction and did not increase the risk of operative intervention and bowel resection.

关键词： Operative Reduction Intussusceptions Children

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