<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322017000400005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[¿Es posible el manejo ambulatorio de la invaginación intestinal?]]></article-title>
<article-title xml:lang="en"><![CDATA[Can intussusception be managed at the outpatient level?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortolá Fortes]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domènech Tàrrega]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Iglesias]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Caraballo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sangüesa Nebot]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vila Carbó]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario y Politécnico La Fe Servicio Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[ Valencia]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario y Politécnico La Fe Servicio Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[ Valencia]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario y Politécnico La Fe Servicio Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[ Valencia]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario y Politécnico La Fe Servicio Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[ Valencia]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Universitario y Politécnico La Fe Servicio de Radiodiagnóstico ]]></institution>
<addr-line><![CDATA[ Valencia]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Universitario y Politécnico La Fe Servicio Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[ Valencia]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>19</volume>
<numero>75</numero>
<fpage>231</fpage>
<lpage>239</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322017000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322017000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322017000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la invaginación intestinal es la causa más frecuente de obstrucción intestinal en menores de tres años. Habitualmente, tras la desinvaginación, los pacientes permanecen ingresados 24-48 horas. Recientemente se ha propuesto el manejo ambulatorio mediante observación clínica durante 12 horas. Nuestro objetivo es valorar la implementación de esta actitud terapéutica.  Material y métodos:  revisión retrospectiva de las invaginaciones intestinales atendidas en nuestro centro durante los últimos 12 años.  Resultados:  se incluye 458 pacientes, el 60,3% de ellos varones. Edad media de 24,1 meses, siendo la localización ileocólica la más frecuente (77,7%). El 2,4% presentó alguna causa secundaria. Se realizó neumoenema en 370 niños, requiriendo cirugía el 10,7%. Se registraron 78 recidivas en 56 pacientes (12,2%), 15 de ellos intrahospitalariamente. El tiempo medio para la reintroducción de la alimentación y la estancia media fueron de 28,6 y 64,4 horas respectivamente, sin diferencias significativas entre aquellos que recidivaron y los que no (60,8 frente a 69 horas; t = -0,4; p = 0,689). No se registraron diferencias entre el tiempo de evolución clínica y la tasa de éxito del neumoenema (t = 0,478; p = 0,634); aunque hubo diferencias en la necesidad de intervención quirúrgica (&#967;² = 5,604; p = 0,018), no hubo ninguna complicación. La reintroducción precoz de la alimentación no se relacionó con más recidivas ni diferencias entre los grupos (30,2% en el grupo que recidivó y 23,1% en el grupo sin recidiva, p = 0,608).  Conclusiones: el ingreso hospitalario más allá de 12 horas no disminuye la tasa de complicaciones. Por tanto, consideramos que la observación en urgencias tras la desinvaginación durante 12 horas es una medida segura y coste-efectiva.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: intussusception is the most frequent cause of bowel obstruction in children under three years. Usually, after reduction, patients remain admitted for 24-48 hours. Ambulatory management has recently been proposed, based on clinical experience of follow-up of the patient's evolution in the Emergency Department of the hospital during the following 12 hours. Our objective is to evaluate the implementation of this new therapeutic attitude.  Material and methods: retrospective review of all the intussusceptions treated at our center during the last 12 years.  Results:  458 patients were included, 60.3% ot them were male. Mean age was 24.1 months (SD 24.6), with the ileo-colic location being the most frequent (77.7%). 2.4% had secondary causes. A pneumoenema was performed in 370 children, requiring surgery 10.7%. There were 78 relapses in 56 patients (12.2%), 15 of them during admission. The mean time to reintroduce feeding and the mean hospital stay was 28.6 and 64.4 hours respectively, with no significant difference between those who relapsed and those who did not (60.8 vs 69 hours, t = -0.4, p = 0.689). There was no relationship between a longer clinical evolution and pneumoenema succeed rate (t = 0.478, p = 0.634). Although there were differences in the need for surgical intervention (&#967;² = 5.604, p = 0.018), there were no complications. Early reintroduction of feeding was not related to any recurrences or differences between groups (30.2% in the relapsed group and 23.1% in the non-recurrent group, p = 0.608).  Conclusions: hospital admission beyond 12 hours does not decrease the rate of complications. Therefore, we consider that outpatient observation for 12 hours after reduction is a safe and economical measure.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tratamiento ambulatorio]]></kwd>
<kwd lng="es"><![CDATA[Neumoenema]]></kwd>
<kwd lng="es"><![CDATA[Recurrencia]]></kwd>
<kwd lng="es"><![CDATA[Ecografía]]></kwd>
<kwd lng="es"><![CDATA[Niños]]></kwd>
<kwd lng="es"><![CDATA[Invaginación intestinal]]></kwd>
<kwd lng="en"><![CDATA[Outpatients]]></kwd>
<kwd lng="en"><![CDATA[Enema]]></kwd>
<kwd lng="en"><![CDATA[Recurrence]]></kwd>
<kwd lng="en"><![CDATA[Ultrasonography]]></kwd>
<kwd lng="en"><![CDATA[Children]]></kwd>
<kwd lng="en"><![CDATA[Intussusception]]></kwd>
</kwd-group>
</article-meta>
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