AI Article Synopsis
- The study compares the effects of non-operative radiological reduction (NORR) for pediatric intussusception, assessing outcomes in patients who were sedated versus those who were not.
- Results showed a success rate of 72.7% in sedated patients compared to 61.2% for awake patients, but the difference was not statistically significant (P>0.05).
- Overall, NORR can be performed successfully with or without sedation, although sedation carries added anesthetic risks that need careful consideration.
Article Abstract
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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| http://dx.doi.org/10.23736/S2724-5276.23.07149-5 | DOI Listing |
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