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. 1987 Feb 1;136(3):269–272.

Intussusception in children 2 years of age or older.

S Schuh, D E Wesson
PMCID: PMC1491577  PMID: 3492257

Abstract

The hospital records of 111 children aged 2 to 15 years who were treated for intussusception between mid-1974 and mid-1984 were reviewed. Severe intermittent abdominal pain was the most consistent, and frequently the only, clinical feature. Hydrostatic reduction was almost as successful as in children under 2 years of age, and its success was independent of the duration of symptoms. Most cases were idiopathic, but lead points were common in children 6 years of age or older. There was an unexpectedly high recurrence rate, 20%. In all three children with lymphoma the signs and symptoms were clearly atypical and were suggestive of pre-existing disease. In the absence of suspicious clinical or radiologic findings, laparotomy to rule out lymphoma is not warranted.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ein S. H. Leading points in childhood intussusception. J Pediatr Surg. 1976 Apr;11(2):209–211. doi: 10.1016/0022-3468(76)90289-x. [DOI] [PubMed] [Google Scholar]
  2. Ein S. H. Recurrent intussusception in children. J Pediatr Surg. 1975 Oct;10(5):751–755. doi: 10.1016/0022-3468(75)90380-2. [DOI] [PubMed] [Google Scholar]
  3. Ein S. H., Stephens C. A. Intussusception: 354 cases in 10 years. J Pediatr Surg. 1971 Feb;6(1):16–27. doi: 10.1016/0022-3468(71)90663-4. [DOI] [PubMed] [Google Scholar]
  4. Eklöf O. A., Johanson L., Löhr G. Childhood intussusception: hydrostatic reducibility and incidence of leading points in different age groups. Pediatr Radiol. 1980 Nov;10(2):83–86. doi: 10.1007/BF01001744. [DOI] [PubMed] [Google Scholar]
  5. Eklöf O., Reiter S. Recurrent intussusception. Analysis of a series treated with hydrostatic reduction. Acta Radiol Diagn (Stockh) 1978;19(1B):250–258. [PubMed] [Google Scholar]
  6. Gierup J., Jorulf H., Livaditis A. Management of intussusception in infants and children: a survey based on 288 consecutive cases. Pediatrics. 1972 Oct;50(4):535–546. [PubMed] [Google Scholar]
  7. Hoy G. R., Dunbar D., Boles E. T., Jr The use of glucagon in the diagnosis and management of illeocolic intussusception. J Pediatr Surg. 1977 Dec;12(6):939–944. doi: 10.1016/0022-3468(77)90604-2. [DOI] [PubMed] [Google Scholar]
  8. Kenigsberg K., Lee J. C., Stein H. Recurrent acute intussusception. Pediatrics. 1974 Feb;53(2):269–270. [PubMed] [Google Scholar]
  9. Raudkivi P. J., Smith L. H. Intussusception: analysis of 98 cases. Br J Surg. 1981 Sep;68(9):645–648. doi: 10.1002/bjs.1800680912. [DOI] [PubMed] [Google Scholar]
  10. Schey W. L., White H., Conway J. J., Kidd J. M. Lymphosarcoma in children. A roentgenologic and clinical evaluation of 60 children. Am J Roentgenol Radium Ther Nucl Med. 1973 Jan;117(1):59–72. doi: 10.2214/ajr.117.1.59. [DOI] [PubMed] [Google Scholar]
  11. Turner D., Rickwood A. M., Brereton R. J. Intussusception in older children. Arch Dis Child. 1980 Jul;55(7):544–546. doi: 10.1136/adc.55.7.544. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Wayne E. R., Campbell J. B., Burrington J. D., Davis W. S. Management of 344 children with intussusception. Radiology. 1973 Jun;107(3):597–601. doi: 10.1148/107.3.597. [DOI] [PubMed] [Google Scholar]
  13. Wayne E. R., Campbell J. B., Kosloske A. M., Burrington J. D. Intussusception in the older child- suspect lymphosarcoma. J Pediatr Surg. 1976 Oct;11(5):789–794. doi: 10.1016/0022-3468(76)90104-4. [DOI] [PubMed] [Google Scholar]

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