{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T20:40:28Z","timestamp":1774039228144,"version":"3.50.1"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>The aim of this study was to identify risk factors for recurrent intussusception after a successful reduction by fluoroscopy-guided air enema, the time required for recurrence, and the association between delayed reduction and the recurrence.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Medical records of 479 consecutive children with intussusception who underwent fluoroscopy-guided air enema between January 2004 and September 2014 were reviewed. Recurrent intussusception was defined as a recurrence within 48 hours of a reduction. Symptom-to-door time was defined as the time from symptom onset to emergency department arrival. Door-to-reduction time was defined as the time from emergency department arrival to reduction. Time-to-recurrence was defined as the time required for recurrence from the first ultrasound diagnosis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Of the 360 eligible children, 32 had recurrent intussusceptions (8.9%). Multivariable logistic regression showed that age 2 years or older is an independent predictor of recurrent intussusception (odds ratio, 2.39; 95% confidence interval, 1.13\u20135.02; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.02). Median time to recurrence was 25 hours (18.0\u201336.0 hours). Although symptom-to-door and door-to-reduction times tended to be longer in the recurrence group, these differences were not significant (12.5 vs 7.0 hours, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.18; 154.0 vs 143.0 minutes, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.67, respectively).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Our data suggest that provision for early recurrence and extended observation may be beneficial for children 2 years or older. Delayed reduction was not associated with recurrent intussusception, but further studies with larger sample sizes are needed to explain this issue.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000001071","type":"journal-article","created":{"date-parts":[[2017,2,18]],"date-time":"2017-02-18T18:40:47Z","timestamp":1487443247000},"page":"484-487","source":"Crossref","is-referenced-by-count":34,"title":["Risk Factors for Recurrent Intussusception After Fluoroscopy-Guided Air Enema"],"prefix":"10.1097","volume":"34","author":[{"given":"Jung Heon","family":"Kim","sequence":"first","affiliation":[{"name":"Pediatrics and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong Seung","family":"Lee","sequence":"additional","affiliation":[{"name":"Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeong Min","family":"Ryu","sequence":"additional","affiliation":[{"name":"Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyoung Soo","family":"Lim","sequence":"additional","affiliation":[{"name":"Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Won Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1148\/radiographics.19.2.g99mr14299","article-title":"Intussusception in children: current concepts in diagnosis and enema 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