علاج انغلاف الأمعاء الإيليوكولي عند الأطفال المستقرين ديناميكيًا دون مرض حرج

References

DOI: 10.1016/j.jpedsurg.2020.09.055

• Of note, this management algorithm should only be applied in children who are hemodynamically stable without critical illness.
• No peritonitis, clinically well
• Positive U/S
• Enema Reduction
• Administration of prophylactic antibiotics prior to enema reduction does not appear to decrease post-reduction complications and is therefore unnecessary.
• A physician capable of abdominal decompression of pneumoperitoneum and cardiopulmonary resuscitation should be present at the time of reduction.
• 4 hours observation to ensure symptoms resolved and tolerating oral regimen
• The optimal length of observation after enema reduction of ileocolic intussusception appears to be 4 hours, based on the current data.