Ileocolic Intussusception

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Scott P Zietlow - One of the best experts on this subject based on the ideXlab platform.

Naum Simanovsky - One of the best experts on this subject based on the ideXlab platform.

  • early recurrence of Ileocolic Intussusception after successful air enema reduction incidence and predisposing factors
    Emergency Radiology, 2019
    Co-Authors: Naum Simanovsky, Benjamin Z Koplewitz, Omer Issachar, N Levcohain, D Rekhtman, Nurith Hiller
    Abstract:

    Early recurrent Ileocolic Intussusception (RICI) is a rare event. We aimed to estimate the rate of RICI and identify predisposing factors for early recurrence for children treated in a tertiary-care academic medical center. Consecutive children who were diagnosed with Ileocolic Intussusception (ICI) during the years 2005–2015 and had successful enema reduction were included. Demographic, clinical, imaging, and laboratory data were recorded for analysis. Ultrasound and fluoroscopy images were reviewed. Early RICI was defined as recurrence within 48 h. Two hundred forty-five episodes of Intussusception in 210 patients, ages 2 to 77 months (mean 12.7), were included. Six patients (2.45%) had a RICI between 7 and 28 h (mean 17 h) after initial successful reduction. A total of 5/6 recurrences (83.3%) were in winter months. In the group without early recurrence, only 19.6% of the cases presented during the winter (p = 0.001). Mean age in the early recurrence group was 23 months compared to 12.4 months children with no early recurrence (p = 0.016). All other analyzed parameters were comparable for the groups. Early RICI is a relatively rare event that may not justify routine admission and long observation. The approach should be individual, based on the clinical picture.

  • Ileocolic versus small bowel Intussusception in children can us enable reliable differentiation
    Radiology, 2013
    Co-Authors: Natali Lioubashevsky, Nurith Hiller, Katya Rozovsky, Lee Segev, Naum Simanovsky
    Abstract:

    We have shown that the index of the diameter of the hyperechoic inner fat core to wall thickness may be a useful parameter enabling confident differentiation between Ileocolic and small-bowel Intussusception in children; an index of inner fat core diameter to wall thickness greater than 1.0 is characteristic of Ileocolic Intussusception, while an index of less than 1.0 is characteristic of small-bowel Intussusception.

Corey W Iqbal - One of the best experts on this subject based on the ideXlab platform.

Chihcheng Hsiao - One of the best experts on this subject based on the ideXlab platform.

Nurith Hiller - One of the best experts on this subject based on the ideXlab platform.

  • early recurrence of Ileocolic Intussusception after successful air enema reduction incidence and predisposing factors
    Emergency Radiology, 2019
    Co-Authors: Naum Simanovsky, Benjamin Z Koplewitz, Omer Issachar, N Levcohain, D Rekhtman, Nurith Hiller
    Abstract:

    Early recurrent Ileocolic Intussusception (RICI) is a rare event. We aimed to estimate the rate of RICI and identify predisposing factors for early recurrence for children treated in a tertiary-care academic medical center. Consecutive children who were diagnosed with Ileocolic Intussusception (ICI) during the years 2005–2015 and had successful enema reduction were included. Demographic, clinical, imaging, and laboratory data were recorded for analysis. Ultrasound and fluoroscopy images were reviewed. Early RICI was defined as recurrence within 48 h. Two hundred forty-five episodes of Intussusception in 210 patients, ages 2 to 77 months (mean 12.7), were included. Six patients (2.45%) had a RICI between 7 and 28 h (mean 17 h) after initial successful reduction. A total of 5/6 recurrences (83.3%) were in winter months. In the group without early recurrence, only 19.6% of the cases presented during the winter (p = 0.001). Mean age in the early recurrence group was 23 months compared to 12.4 months children with no early recurrence (p = 0.016). All other analyzed parameters were comparable for the groups. Early RICI is a relatively rare event that may not justify routine admission and long observation. The approach should be individual, based on the clinical picture.

  • Ileocolic versus small bowel Intussusception in children can us enable reliable differentiation
    Radiology, 2013
    Co-Authors: Natali Lioubashevsky, Nurith Hiller, Katya Rozovsky, Lee Segev, Naum Simanovsky
    Abstract:

    We have shown that the index of the diameter of the hyperechoic inner fat core to wall thickness may be a useful parameter enabling confident differentiation between Ileocolic and small-bowel Intussusception in children; an index of inner fat core diameter to wall thickness greater than 1.0 is characteristic of Ileocolic Intussusception, while an index of less than 1.0 is characteristic of small-bowel Intussusception.