The management of childhood intussusception in a district hospital
作者:
D. F. M. Thomas,
期刊:
British Journal of Surgery
(WILEY Available online 1980)
卷期:
Volume 67,
issue 1
页码: 33-35
ISSN:0007-1323
年代: 1980
DOI:10.1002/bjs.1800670110
出版商: John Wiley&Sons, Ltd.
数据来源: WILEY
摘要:
AbstractFifteen out of 34 infants with intussusception admitted to a district hospital were found to require resection of gangrenous bowel or an anatomical lead point. This resection rate (44 per cent) is considerably higher than those reported from specialist centres which rely on hydrostatic reduction as their primary form of treatment. The difference is probably a reflection of the greater proportion of late cases seen in a district hospital. Complications were virtually confined to those children who had undergone resection and it is concluded that earlier referral to hospital is the single factor most likely to reduce morbidity. Operative management is advocated, although barium enema is a safe valuable adjunct to surgery.
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