Carroll Downey Aisling, Abdelhalim Suhaila, Alonso Sanchez Jaime, Amirabadi Afsaneh, Parra Dimitri, Gasparetto Alessandro, Amaral Joao
Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
J Vasc Interv Radiol. 2025 Jun;36(6):1036-1041. doi: 10.1016/j.jvir.2025.03.001. Epub 2025 Mar 10.
This study compared the recurrence rate of gastrojejunal tube-related intussusceptions managed with temporary tube removal for "bowel rest" versus immediate tube exchange. The secondary aim was to compare the time to recurrence between the 2 management groups. A total of 92 episodes in 56 pediatric patients were analyzed, with demographics, tube characteristics, and interventions recorded. Recurrence rates were compared using the chi-square test, and time to recurrence was analyzed with the Kaplan-Meier method. The median age was 23 months (range, 2-184 months), the median weight was 10.9 kg (range, 3-36 kg), and 51.1% of episodes occurred in females. Fifty-three percent of recurrences occurred in the bowel rest group, and 47% occurred in the immediate reinsertion group. No statistically significant difference was found in the recurrence rates (P = 1.000) or time to recurrence (P = .364). The findings indicate that immediate tube exchange may be an equivalently effective management strategy as bowel rest in clinically stable patients.
本研究比较了通过临时拔除胃空肠管进行“肠道休息”与立即更换胃空肠管两种方式处理胃空肠管相关肠套叠的复发率。次要目的是比较这两种处理方式的复发时间。共分析了56例儿科患者的92次发作情况，并记录了人口统计学资料、管道特征和干预措施。使用卡方检验比较复发率，采用Kaplan-Meier方法分析复发时间。中位年龄为23个月（范围2 - 184个月），中位体重为10.9千克（范围3 - 36千克），51.1%的发作发生在女性患者中。53%的复发发生在肠道休息组，47%发生在立即重新插管组。复发率（P = 1.000）和复发时间（P = 0.364）均未发现统计学上的显著差异。研究结果表明，对于临床稳定的患者，立即更换胃空肠管可能是与肠道休息等效的有效处理策略。
