Posters
« Back
Evaluating and applying the current evidence on calculating intussusception reduction success rates
EP29175
Poster Title: Evaluating and applying the current evidence on calculating intussusception reduction success rates
Submitted on 14 Sep 2018
Author(s): Pavan Nandra, Dilan Patel, Kirsteen McDonald, Jonathan Colledge, Anoushka Ljutikov
Affiliations: Paediatric Imaging Department, Royal London Hospital
Poster Views: 381
View poster »


Poster Information
Abstract: Title
Evaluating and applying the current evidence on calculating intussusception reduction success rates

Introduction
Intussusception occurs when bowel slides into adjacent bowel; also described as ‘telescoping’ [1]. The most common radiological management in the UK is reduction via fluoroscopically guided air-enema [2]. Previously, the success rates for this were calculated using the Selected Success Rate (SSR), based on the number of successful reductions as a percentage of all attempted reductions [3,4,5,6]. Recent literature and proposed British Society of Paediatric Radiology (BSPR) guidelines suggest a more representative marker is the Composite Reduction Rate (CoRR), based on the number of successful reductions as a percentage of the number of reductions that should be possible using air-enema, i.e. excluding those with a lead point/precluding pathology [3,7].

Aim
To review the air-enemas performed for intussusception patients in our centre during 2017, and calculate the SSR and CoRR.

Method
PACS search was performed using the relevant examination code, yielding 22 results (after exclusions) in 2017. Data was collected for each case and the operative outcome of each unsuccessful case was reviewed on the electronic patient record.

Results
14 of the 22 air-enemas were successful (SSR=63.6%). Of the 8 unsuccessful cases, 4 were found to have a lead point/pathology requiring resection, and 2 were found to already be reduced on laparoscopy/laparotomy. When these 6 cases are excluded (as they are not defined as failures) the CoRR is 14/16=87.5%.

Conclusion
The CoRR is a more representative measure of intussusception reduction success rates than the SSR, accounting for patient pathology and outcome. Our centre achieved a CoRR of 87.5%.

Summary: Evaluating and applying the current evidence on calculating intussusception reduction success rates - an audit and literature review.References: [1] Gluckman S, Karpelowsky J, Webster AC, McGee RG. Management for intussusception in children. Cochrane Database of Systematic Reviews 2017, Issue 6. DOI: 10.1002/14651858.CD006476.pub3
[2] Williams H. Imaging and intussusception. Arch Dis Child Educ Pract Ed 2008; 93:30-36. DOI: 10.1136/adc.2007.134304
[3] BSPR Intussusception Working Group. A UK evidence based guideline for the acute management of paediatric intussusception 2017
[4] Hannon E, Williams R, Allan R, Okoye B. UK intussusception audit: A national survey and audit of reduction rates. Clin Rad 2014 (69) 344-349. DOI: 10.1016/j.crad.2013.10.024
[5] Samad L, Marven S, El Bashir H, Sutcliffe AG, Cameron JC, Lynn R, Taylor B. Prospective surveillance study of the management of intussusception in UK and Irish infants. Br J Surg 2012; 99 (3); 411-5
[6] Rosenfeld K, McHugh K. Survey of intussusception reduction in England, Scotland and Wales: how and why we could do better. Clinical Radiology 1999; 54: 452-45
Report abuse »
Questions
Ask the author a question about this poster.
Ask a Question »

Creative Commons

Related Posters


Etiological diagnostics of cardiomyopathies in the cardiology unit of the HUEH internal medicine department during the period from 8 January 2014 to 14 June 2014
*Axler JEAN PAUL; **Lesly Ed. ARCHER; *Raema Mimrod JEAN; *Gerald VERNELUS; *Rodolph MALEBRANCHE

Medical Student: Move over Stem Cells – Exosomes are Here! What are Exosomes & their role in Regenerative Medicine?
Amartej Singh Deol MD4 & Advisor: Shivinder S. Deol MD

Resident: NONHEALING ULCER THE NEED TO LOOK FURTHER
Briand Bounkeu MD; Ravi Shekarappa MD; La Toya Jackson DO, FAAFP; Chinedu Ivonye MD, FACP; Cristal Kudiwu MD

Striving for Equity in Surgical, Anesthesia, and Obstetric Research in Haiti: A Multi-Partner, International Research Training Collaboration
Dr. Jean Alouidor*, Dr. Frédéric Barau Déjean*, Dr. Louis-Franck Télémaque, Dr. Ronald Eveillard, Dr. Laëlle Mangurat, Dr. Isaac Martineau, Dr. Chartelin Jean Isaac, Dr. Darlène Rochelin Paultre, Carine Réveil Jean-Baptiste, Dr. Lucile Louis Riché, Dr. Jordan Pyda, Rolvix Patterson III, Dr. Blake Alkire, Dr. Eunice Dérivois-Mérisier (*Co-First Authors)

Projektstatus: Entwicklung einer konsensbasierten Therapieempfehlung für die PADOVAN-METHODE® in der Neurorehabilitation
Eisenmeier, Dimitri1; Ostermann, Thomas1; Vogel, Hannah1; Fetz, Katharina1