Abstract
It is understood that intussusception is a potentially fatal pediatric medical emergency if not treated promptly. Over time, the techniques used to treat this situation vary depending on the reality of the situation, but the most commonly used therapy is laparoscopy surgery, followed by other non-surgical options used, such as pneumatic reduction. The study aims to inform the types of therapeutic approaches used in pediatric situations, contributing to knowledge about the current and most used forms. The study was carried out with an integrative review methodology, carried out in June 2024, through searches in the databases: PubMed, Scielo and Lilacs. The Health Science/Medical Subject Headings (DeCS/MeSH) Descriptors used were: “Intussusception”; "treatment"; “pediatrics". In English: "Intussusception"; "treatment"; "pediatrics". Such descriptors were related using the Boolean Operator “AND”. To carry out the integrative review, the six planning phases outlined by Mendes, Silveira and Galvão (2008) and those trained being filtered into 3 stages. Therefore, the approaches found in the 6 works were: surgery as the initial method, pneumatic or hydrostatic reduction and ultrasound-guided hydrostatic enema reduction (UGHR).
References
Chang CY, et al. Recurrence of pediatric intussusception: A nationwide population-based descriptive study in Taiwan. Medicine (Baltimore). 2023 Sep 1;102(35)
Mendes, D.S, et al. Revisão integrativa: método de pesquisa para incorporação de evidências na saúde e na enfermagem. Texto & Contexto Enfermagem [online]. 2008, 17(4), 758-764
Doo JW, Kim SC. Sedative reduction method for children with intussusception. Medicine (Baltimore). 2020 Jan;99(5)
Ferrantella A, et al. Incidência de intussuscepção recorrente em crianças pequenas: uma análise nacional de readmissões. J Pediatr Surg. 2020;55:1023–5.
Kakiuchi T, et al. Jejuno-jejunal intussusception caused by a percutaneous endoscopic gastrojejunostomy tube in a pediatric patient: A case report. Medicine (Baltimore). 2020 Apr;99(16)
Liu L, et al. Air enema reduction versus hydrostatic enema reduction for intussusceptions in children: A systematic review and meta-analysis. PLoS One. 2024 Mar 18;19(3)
Lloyd DA, Kenny SE. The surgical abdomen. In: Pediatric Gastrointestinal Disease: Pathopsychology, Diagnosis, Management. (Eds), BC Decker, 2004. p.604.
Junior, L. et al. Criança com intussuscepção e divertículo de Meckel: relato de caso: Criança com intussuscepção e divertículo de Meckel: relato de caso. Revista Brasileira de Revisão de Saúde, [S. l.] , v. 4, pág. 14589–14597, 2022.
Neeser, HR, Tharakan, SJ . Intussuscepção: Fundamentos da cirurgia pediátrica. Springer, Cham. 1, (2022).
Yang J, et al.. Liberal surgical laparoscopy reduction for acute intussusception: experience from a tertiary pediatric institute. Sci Rep 14 , 457 (2024).
Zewde Y, et al. Clinical presentation and management outcome of pediatric intussusception at Wolaita Sodo University Comprehensive Specialized Hospital: a retrospective cross-sectional study. J Int Med Res. 2024 Mar;52(3):3000605241233525.
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Copyright (c) 2024 Vladmir do Nascimento Aragão, Josilene Luzia dos Santos, João de Freitas Brazil Neto, Francisco Lennon Camilo Rosa, Mateus de Paula Lima¹, Francisco Emanuel Bezerra de Almeida, Joyce Isley De Melo Freitas, Sophia Esmeraldo Leite Knaier, Maressa Samai Pinheiro Silva, Maria Clara Florentino do Nascimento Brazil, Daiane Mendes Ribeiro, Mateus Monteiro Maciel, Pedro de Paula Lima