Intussusception clinical pathway: a survey of pediatric surgery practices.

TitleIntussusception clinical pathway: a survey of pediatric surgery practices.
Publication TypeJournal Article
Year of Publication2014
JournalThe American surgeon
Volume80
Issue9
Pagination846-8
Date Published2014 Sep
ISSN0003-1348
AbstractTherapeutic reduction of intussusception by air or contrast enema may require surgery if the bowel is irreducible or perforates. There is no standard for the involvement of a pediatric surgeon in the workup of the condition. A regional survey of clinical practices was therefore undertaken to attempt to establish a consensus as to when the presence of a pediatric surgeon is required. Distributed to pediatric surgeons at 32 institutions, a questionnaire asked the process of imaging and reduction of infants with intussusception and the extent of pediatric surgical involvement. Surgeons at 29 institutions responded (91%). Ultrasound was used in diagnosis in 16 (55%), 13 (45%) requiring a positive ultrasound diagnosis of intussusception before attempting reduction. Three-fourths (22 [76%]) required surgeon notification that enema reduction was taking place, and one-fourth (seven [24%]) required prior surgical consultation. Only three (10%) required the presence of a surgery team member. Most (21 [72%]) did not demand one, and five (18%) indicated that surgical presence was desirable but not a necessity. There is no consensus for pediatric surgical involvement before and during reduction of an intussusception.
URLhttps://www.ingentaconnect.com/openurl?genre=article&issn=0003-1348&volume=80&issue=9&spage=846&aulast=Stokes
PubMed Linkhttp://www.ncbi.nlm.nih.gov/pubmed/25197867?dopt=Abstract
Short TitleAm Surg