{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T12:58:33Z","timestamp":1760014713950},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,9,15]],"date-time":"2017-09-15T00:00:00Z","timestamp":1505433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,9,15]],"date-time":"2017-09-15T00:00:00Z","timestamp":1505433600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Intussusception in adults is increasingly diagnosed on cross\u2010sectional imaging with a lack of clear recommendations on management. The presence of an underlying lead point is a key to guiding management as its absence can predict spontaneous resolution. We studied adult patients with computed tomography (CT) diagnosed intussusception formulate a clinical scoring system to predict the risk of an underlying lead point.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>We performed a retrospective review of all adult patients who underwent CT scans of the abdomen and pelvis in our institution between 2001 and 2014. Independent associations of an underlying lead point were derived following multivariable analysis, from which a clinical scoring system was developed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We studied 140 patients. In multivariable analysis, six factors were found to be independently associated with the presence of an underlying lead point, namely gender, abdominal pain, CT evidence of colonic involvement, CT evidence of a lead point, distal diameter \u226527\u00a0mm and minimum wall thickness \u22653\u00a0mm. A nine\u2010point clinical scoring system was developed, with a cutoff score of four or higher yielding a sensitivity and specificity of 0.75 and 0.81, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our clinical scoring system provides a quantitative tool to predict the likelihood of an underlying lead point in CT\u2010diagnosed intussusception in adults to help guide management.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4196-z","type":"journal-article","created":{"date-parts":[[2017,9,15]],"date-time":"2017-09-15T14:38:17Z","timestamp":1505486297000},"page":"682-687","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["A Clinical Scoring System to Predict the Clinical Sequelae of Computed Tomography Diagnosed Intussusception"],"prefix":"10.1002","volume":"42","author":[{"given":"Hwee Leong","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Upper Gastrointestinal and Bariatric Surgery Singapore General Hospital 20 College Road, Level 5 169856 Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ye Xin","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary and Transplant Surgery Singapore General Hospital 20 College Road, Level 5 169856 Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Taufik","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Singapore General Hospital 20 College Road, Level 4 169856 Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weng Kit","family":"Lye","sequence":"additional","affiliation":[{"name":"Centre for Quantitative Medicine Duke\u2010NUS Medical School Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian Kim Poh","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary and Transplant Surgery Singapore General Hospital 20 College Road, Level 5 169856 Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hock Soo","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Upper Gastrointestinal and Bariatric Surgery Singapore General Hospital 20 College Road, Level 5 169856 Singapore 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