{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T19:38:41Z","timestamp":1770493121281,"version":"3.49.0"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T00:00:00Z","timestamp":1620172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The study aimed to assess the efficacy and safety of delayed repeated enema (DRE) and to evaluate the effect of general anesthesia (GA) on DRE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was conducted of all children below 3\u00a0years with primary intussusception who were offered DRE in our tertiary center, from 2014 until 2019.<\/jats:p><jats:p>Following a standardized pneumatic enema protocol, those who showed a partially successful result were offered DRE 2\u00a0h later, either awake (Group A) or under GA (Group B). DRE under GA was our preferred procedure unless there were no pediatric anesthetists available at that time. Data collected for each group included age, sex, duration of symptoms, success rate of the DRE, and any complications noted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 57 children (32 males and 25 females). The median age in Group A (31 patients) was 10\u00a0months while in Group B (26 patients) it was 11\u00a0months. The number of patients with duration of symptoms\u00a0&lt;\u00a024\u00a0h vs &gt;\u00a024\u00a0h was 12:19 and 9:17 in Group A and B patients respectively. DRE was successful in 14\/31 (45.2%) of Group A patients with one complication and in 9\/26 (34.6%) of Group B patients with no complications.<\/jats:p><jats:p>There was no statistically significant difference between both groups\u2019 success rate and complication rate. Both groups were similar in age, sex, and duration of symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>DRE can effectively increase the overall success rate of pneumatic enema in selected patients with pediatric intussusception. However, the current evidence does not justify the routine use of GA during attempts DRE attempts.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14502","type":"journal-article","created":{"date-parts":[[2020,10,10]],"date-time":"2020-10-10T07:14:08Z","timestamp":1602314048000},"page":"699-703","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effect of general anesthesia on delayed repeat enema in pediatric intussusception"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3189-2921","authenticated-orcid":false,"given":"Wael M.","family":"Elzeneini","sequence":"first","affiliation":[{"name":"Pediatric Surgery Department Ain\u2010Shams University Children\u2019s Hospital Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-003-1082-7"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.02.082"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1315804"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3181ef0426"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.206.3.9494491"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.182.5.1821169"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2014.09.002"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12035"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-011-1604-5"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.1997.d01-28.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(89)80066-6"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2017.01.002"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2009.06.067"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(94)90717-X"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(99)90781-9"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-011-2311-0"},{"key":"e_1_2_7_18_1","first-page":"289","article-title":"The effect of midazolam on decreasing the duration of intussusception hydrostatic reduction in children","volume":"69","author":"Eisapour A","year":"2015","journal-title":"Med. 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