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Journal ID : TMJ-05-08-2021-10543
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Title : Periluminar Fluids in Abdominal Ultrasounds As A Predictor of Intestinal Viability in Pediatric Patients With Intussusception at Saiful Anwar Hospital Malang

Abstract :

Pediatric intussusception is the most common cause of intestinal obstruction in children between 4 and 10 months old. Ultrasound examination (USG) is the preferred examination in diagnosing intussusception. Periluminar fluid around the area of intussusception is associated with a failure of enema reduction and intestinal ischemia. Intestinal viability can determines whether to perform bowel resection at the time of intervention. The aim of this study is to test whether the periluminar fluid around the area of intussusception is associated with the presence of necrotic intestinal tissue. This study is a retrospective clinical observational analytic study, involving 30 pediatric patients with intussusception who had undergone surgery in the Pediatric Surgery section of the Dr. Saiful Anwar Malang Hospital, who previously had the results of an abdominal ultrasound examination evaluation with intussusception images. The parameters of intestinal viability in surgical findings are by looking at mucosal color, contractility, and vascularity of the intussusception area, which related to venous static and arterial pulsation. The data analysis used was correlation test with discriminative analysis. The spearman correlation test showed a significant relationship between the length, width and broad of the luminar fluid and viability, that is the higher of the length, width, and area of the luminar fluid, hence the lower viability. Based on the results of the unpaired t-test, the cut off point value for the length of the luminar fluid is 2.187, the width of the luminar fluid is 1.931, and the area of the luminar fluid is 13.259. Ultrasound periluminar fluid images can be considered as a predictor of intestinal viability in pediatric intussusception.

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