Comparison of outcomes following radiological reduction of intussusception with or without sedation

被引：0
|
作者：
Pagliara, Camilla [1 ]
Zambaiti, Elisa [2 ]
Fati, Federica [1 ]
Guana, Riccardo [2 ,3 ]
Scottoni, Federico [2 ]
Gennari, Fabrizio [2 ]
Gamba, Piergiorgio [1 ]
机构：
[1] Univ Hosp Pauda, Dept Pediat Surg, Padua, Italy
[2] Regina Margher Childrens Hosp, Dept Pediat Surg, Citta Salute & Sci, Turin, Italy
[3] Regina Margher Childrens Hosp, Dept Pediat Surg, Citta Salute & Sci, Piazza Polonia 94, Turin, Italy
来源：
MINERVA PEDIATRICS | 2023年
关键词：
Radiology; interventional; Intussusception; Deep sedation; GUIDED HYDROSTATIC REDUCTION; PNEUMATIC REDUCTION; MANAGEMENT; DIAGNOSIS;
D O I：
10.23736/S2724-5276.23.07149-5
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
BACKGROUND: Non-operative radiological reduction (NORR) is usually the first line treatment in pediatric ileo-colic intussusception. The aim of our study was to compare outcomes of NORR with or without sedation.METHODS: All patients undergoing to contrast enema NORR for intussusception between 01.01.2015 to 31.12.2020 in two hospitals were included: in one centre patients were sedated (A) while in the other patients were awake (B). Primary outcome was the rate of radiological reduction. Secondary outcomes were length-of-stay, complications and recurrence rate.RESULTS: Seventy-seven and 49 patients were included in group A and B respectively. Successful reduction rate was 72.7% in group A and 61.2% in group B (P>0.05). There were no complications related to the procedure among the 2 groups. Adverse events to sedation were observed in 3 patients.CONCLUSIONS: NORR has similar success rate when performed under sedation or awake, despite the former being graved by additional anesthesiologic risks and thus warrant careful indications.
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页数：6
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