Improving high-value care of ileocolic intussusception in a pediatric ED

[摘要] Ileocolic intussusception is one of the most common causes of intestinal obstruction in young children. Presenting symptoms often include episodic abdominal pain, fussiness, and emesis, all of which, unfortunately, are common and nonspecific complaints. The “classic triad” of abdominal pain, palpable mass, and bloody stool is present in less than 40 percent of cases.1 The management of intussusception for hemodynamically stable patients without evidence of perforation includes attempted reduction with an air- or liquid-contrast enema. However, wide practice variation with respect to diagnostic imaging, prophylactic antibiotic administration, and hospitalization exists across the U.S.

[学科分类] 外科医学