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Title of Journal: Surg Endosc

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Abbravation: Surgical Endoscopy

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Early laparoscopy for ileocolic intussusception with multiple recurrences in children

Authors: Yu-Tang Chang, Jui-Ying Lee, Jaw-Yuan Wang, Chi-Shu Chiou, Jan-You Lin,

Publish Date: 2008/06/05
Volume: 23, Issue:9, Pages: 2001-2004
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The risks of subsequent episodes and a lead point are common problems in ileocolic intussusception with more than two recurrences. To decrease subsequent recurrence and to detect a lead point, an early laparoscopy was performed for children with ileocolic intussusception.This study enrolled six children with multiple recurrences of ileocolic intussusception from January 2004 to August 2007. Using a 5-mm laparoscope and two additional transabdominal wall stab incisions, an appendectomy and an ileocolonic pixie with nonabsorbable sutures were performed simultaneously for all the children after the last successful hydrostatic reduction.The mean operating time was 68.8 ± 12.6 min (range, 55–86 min). There was no operative morbidity, and no lead point was found in any child. The mean follow-up period was 10.8 ± 6.7 months (range, 2–20 months). No recurrence was observed during this period.The authors suggest that early intervention should be undertaken for ileocolic intussusception with multiple recurrences in children after the last nonsurgical reduction has been attempted successfully. Under this strategy, laparoscopy is an acceptable approach. It allows differentiation of a specific etiologic lesion, the possibility of incomplete reduction, and additional proximal invaginations. Later complications, such as repeat recurrence and associated surgical morbidity, also can be avoided.



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Other Papers In This Journal:

  1. Early laparoscopy for ileocolic intussusception with multiple recurrences in children
  2. Pushing the envelope: laparoscopy and primary anastomosis are technically feasible in stable patients with Hinchey IV perforated acute diverticulitis and gross faeculent peritonitis
  3. Endoscopy and laparoscopy: a historical aspect of medical terminology
  4. Cardiovascular risk in obese diabetic patients is significantly reduced one year after gastric bypass compared to one year of diabetes support and education
  5. Gastric malt lymphomas: the value of an endoscopic follow-up evaluation
  6. The value of haptic feedback in conventional and robot-assisted minimal invasive surgery and virtual reality training: a current review
  7. Intermittent Pringle maneuver versus continuous hemihepatic vascular inflow occlusion using extra-glissonian approach in laparoscopic liver resection
  8. Trends in adrenalectomy: a recent national review
  9. Multicentre propensity score-matched analysis of laparoscopic versus open surgery for T4 rectal cancer
  10. Laparoscopic antireflux surgery increases health-related quality of life in children with GERD
  11. Prone thoracoscopic esophageal mobilization for minimally invasive esophagectomy
  12. Intragastric balloon positioning and removal: sedation or general anesthesia?
  13. Laparoscopy-assisted versus open distal gastrectomy for gastric cancer in elderly patients: a retrospective comparative study
  14. Transanal endoscopic microsurgery for the treatment of rectal cancer: comparison of wound complication rates with and without neoadjuvant radiation therapy
  15. Transcervical videoscopic esophageal dissection during two-field minimally invasive esophagectomy: early patient experience
  16. Laparoscopic hand-assisted extended right hemicolectomy for cancer management
  17. Validation of difficulty scoring system for laparoscopic liver resection in patients who underwent laparoscopic left lateral sectionectomy
  18. The use of multiplane transesophageal echocardiography to evaluate residual patent ductus arteriosus during video-assisted thoracoscopy in adults
  19. Comparative study of two-dimensional and three-dimensional vision systems for minimally invasive surgery
  20. The current status of emergent laparoscopic colectomy: a population-based study of clinical and financial outcomes
  21. Learning curve and clinical outcome of gastric endoscopic submucosal dissection performed by trainee operators
  22. Navigated renal access using electromagnetic tracking: an initial experience
  23. Intraoperative ultrasound assessment in management of complex pancreatic pseudocysts
  24. Laparoscopic appendectomy in pregnant patients: a review of 45 cases
  25. Laparoscopic right hemicolectomy with intracorporeal anastomosis: short- and long-term benefits in comparison with extracorporeal anastomosis
  26. Hiatal hernias: a review of the pathophysiologic theories and implication for research
  27. Laparoscopic radical prostatectomy: review and assessment of an emerging technique
  28. Primary non-closure of mesenteric defects in laparoscopic Roux-en-Y gastric bypass: reoperations and intraoperative findings in 146 patients
  29. A totally laparoscopic distal gastrectomy with gastroduodenostomy (TLDG) for improvement of the early surgical outcomes in high BMI patients
  30. Current trends in the practice of endoscopy among surgeons in the USA
  31. Duration of postlaparoscopic pneumoperitoneum
  32. The safety and utility of prophylactic pancreatic duct stents in the prevention of post-ERCP pancreatitis: an analysis of practice in a single UK tertiary referral center
  33. Preoperative evaluation of the extrahepatic bile duct structure for laparoscopic cholecystectomy
  34. Surgical treatment of medically refractory gastroparesis in the morbidly obese
  35. Acquiring basic endoscopy skills by training on the GI Mentor II
  36. Laparoscopic evaluation of patients with suspected acute appendicitis
  37. The Martian chronicles: remotely guided diagnosis and treatment in the arctic circle
  38. European consensus on a competency-based virtual reality training program for basic endoscopic surgical psychomotor skills

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