caa a22 4500 477035973 CHVBK 20180405111305.0 cr unu---uuuuu 170330e19961001xx s 000 0 eng 10.1007/s002689900158 doi (NATIONALLICENCE)springer-10.1007/s002689900158 Intussusception in Children: International Perspective [Elektronische Daten] [Donald E. Meier, C. Dale Coln, Frederick J. Rescorla, Akintayo OlaOlorun, John L. Tarpley] Abstract. Fifty consecutive cases of children with intussusception treated at a hospital in a developing country were compared with 50 consecutive cases treated at an American inner city children's hospital and 50 consecutive cases treated at an American referral children's hospital. The plan was to recommend ways of improving the treatment of children with intussusception in the developing world. Nonoperative reduction was attempted in the two American hospitals but was not available in the developing world hospital where all children were treated operatively. Children in the developing world hospital had a significantly longer duration of symptoms, an increased incidence of nonviable bowel, and a mortality of 18%. There were no deaths in either American hospital. The poorer outcome for developing world children was related to delay in treatment, the higher incidence of nonviable bowel, and the lack of adequate nursing care for acutely ill children. The use of nonoperative reduction would not have significantly improved the mortality rate among the developing world children. The mortality can best be reduced by: (1) earlier recognition and treatment of the intussusception; and (2) improvement in the postanesthetic care with better monitoring leading to prompt recognition and treatment of postoperative complications.: 1996 by the Société Internationale de Chir, ugie Meier Donald E. Department of Surgery, Division of Pediatric Surgery, Children's Medical Center, University of Texas Southwestern Medical Center, Dallas, Texas 75235, U.S.A., US aut Coln C. Dale Department of Surgery, Division of Pediatric Surgery, Children's Medical Center, University of Texas Southwestern Medical Center, Dallas, Texas 75235, U.S.A., US aut Rescorla Frederick J. Department of Surgery, Division of Pediatric Surgery, Indiana University School of Medicine, The J.W. Riley Hospital for Children, 702 Barnhill Drive, Indianapolis, Indiana 46202, U.S.A., US aut OlaOlorun Akintayo Department of Surgery, Baptist Medical Centre, P.O. Box 15, Ogbomoso, Oyo State, Nigeria, NG aut Tarpley John L. Department of Surgery, Baptist Medical Centre, P.O. Box 15, Ogbomoso, Oyo State, Nigeria, NG aut https://doi.org/10.1007/s002689900158 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900158 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Meier Donald E. Department of Surgery, Division of Pediatric Surgery, Children's Medical Center, University of Texas Southwestern Medical Center, Dallas, Texas 75235, U.S.A., US aut NATIONALLICENCE 700 1- Coln C. Dale Department of Surgery, Division of Pediatric Surgery, Children's Medical Center, University of Texas Southwestern Medical Center, Dallas, Texas 75235, U.S.A., US aut NATIONALLICENCE 700 1- Rescorla Frederick J. Department of Surgery, Division of Pediatric Surgery, Indiana University School of Medicine, The J.W. Riley Hospital for Children, 702 Barnhill Drive, Indianapolis, Indiana 46202, U.S.A., US aut NATIONALLICENCE 700 1- OlaOlorun Akintayo Department of Surgery, Baptist Medical Centre, P.O. Box 15, Ogbomoso, Oyo State, Nigeria, NG aut NATIONALLICENCE 700 1- Tarpley John L. Department of Surgery, Baptist Medical Centre, P.O. Box 15, Ogbomoso, Oyo State, Nigeria, NG aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer