Management of Intussusception in Children

Zubar Zain, Ahmed

	Management of Intussusception in Children
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 25, Issue 1, 2012, Pages 40-43
Author
Ahmed Zubar Zain
Abstract
Background: Intussusception is an invagination of one segment of intestine (the intussusceptum) into another segment of intestine (the intussuscipiens) , commonly in a proximal to distal direction. The commonest area to be affected is the ileum intussuscepting into the cecum and ascending colon. Intussusception is a frequent cause of bowel obstruction in infants & children. Aims of the study: To describe the clinical presentation & management of intussusception cases admitted to the Central Teaching Hospital of Pediatric in Baghdad for the period from January 2008 to January 2010. Patients & methods: This study was conducted by patient's relative interview in Central Teaching Hospital of Pediatric in Baghdad for the period from January 2008 to January 2010 .All patients were under (12) years old who were admitted and underwent surgical interference & followed up under the study group, This study for analyzing (80) infants & children. Results: Intussusception was rank as a second most common surgical emergency in pediatric age group (20%) coming after acute appendicitis (35%) among total admission of 400 cases as emergency to our pediatric surgical unit during a period of our study. The peak incidence was between 6 months to 2 years of age & occurred in 55 patients (68.75%), also there was a seasonal variation with increased incidence in spring & winter which correlated with increased episodes of respiratory tract infection & viral gastroenteritis. Thirty-five patients (43.75%) have had duration of symptoms less than 24 hours while forty-one patients (51.25%) had duration of symptoms from one day to one week. Male affected more than the female (50 male: 30 female patients) in ratio of male to female (1.7 : 1). Conclusions: Intussusception is the second common surgical emergency in pediatric age group especially between 6 month – 2 year (which is the typical age group for intussusception).idiopathic type was the commonest type while Meckel's diverticulum considered as the commonest pathological lead point for secondary intussusception which required surgical resection. Recommendations: Early diagnosis and surgical interference are vital in management of intussusception to preserve the bowel & decrease morbidity & mortality. Keywords: Intussusception, Currant jelly stool, Meckel's diverticulum.
Keywords
Intussusception; Currant jelly stool; Meckel

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