An appraisal of the presentation and management of adult intussusception at a Nigerian Tertiary Hospital

Balogun, Olanrewaju Samuel; Olajide, Thomas; Afolayan, Michael; Lawal, A O; Osinowo, Adedapo Olumide; Adesanya, AA

doi:10.4103/npmj.npmj_47_19

Cited by 6 publications

(14 citation statements)

References 25 publications

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“…Six out of the 18 patients (33.33%) were idiopathic and did could be seen in the caecum and the ileum without other obvious pathologies. Whether these were the cause or et al's study, only 7% were idiopathic, with other studies 1,[7][8][9][13][14][15][16] In our study, out malignancies were in the large bowel, and their frequency was comparable to other series with reported malignancy rate between 27% and 43%. [15][16][17][18] However, unlike these other series, small bowel malignant lesions were not found in our review.…”

Section: Discussionsupporting

confidence: 84%

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A clinicopathologic study of intussusception in Nepalese adults

Shakya

Byanjankar

Pandit

et al. 2020

J. Soc. Surg. Nepal

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Introduction: Intussusception is rate in adults and is usually secondary to a definable pathology. This study was designed to review adult intussusception, including presentation, diagnosis, and pathology. Methods: A retrospective study of 18 cases of intussusception in individuals older than 18 years of age visiting the department of surgery of Civil Service Hospital from 2010 to 2018 was done. Results: There were 18 cases of adult intussusception. The mean age was 49.2 years (range 19-84 years). Abdominal pain and vomiting were the commonest symptoms. The median duration of presentation was 5 days (range 20 hours to 10 months). Three patients (16.6%) presented with generalized peritonitis. There were eight ileocolic, seven ileoileal, and three colocolic intussusceptions. Two patients (11.1%) settled spontaneously. Twelve out of the 18 patients (66.6%) had leading lesions. Benign pathologies were seen in seven cases (38.8%) and malignant in five patients (27.7%). All malignancies were in the large bowl Conclusions: Adult intussusception is a rare entity, nearly one-third of their causes are malignant. Surgery is the best recommended treatment, with or without a primary reduction of the intussusception; the latter can result in more limited bowel resection.

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Section: Discussionsupporting

confidence: 84%

“…Recent reviews have shown that over a time span, presentation of adult intussusception to a single institution or multiple institutions in a country is extremely less. [7][8][9][10][11][12][13][14] Here in our institution, 18 patients over eight years are comparable in volume to these reports as well.…”

Section: Discussionsupporting

confidence: 66%

A clinicopathologic study of intussusception in Nepalese adults

Shakya

Byanjankar

Pandit

et al. 2020

J. Soc. Surg. Nepal

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“… 5 , 9 Some studies reported an acute presentation duration ranging from several days to two weeks in more than half the patients. 5 , 6 However, the clinical presentation of AI is often characterized by non-specific chronic symptoms that may be related to intermittent partial bowel obstruction caused by intussusception. 2 , 10 , 11 In this study, the median duration for which symptoms lasted prior to presentation was 4 days (IQR, 2–14 days), and 20 (71%) patients presented with acute symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…1 Intussusception is rare in adults. [2][3][4][5][6] The main causes of intussusception in adults are as follows: carcinomas, polyps, strictures, benign tumors, Meckel's diverticulum, and colonic diverticulum. 7 It is estimated that only 5% of all intussusception cases occur in adults, and the diagnosis is often overlooked.…”

Section: Introductionmentioning

confidence: 99%

Intussusception in Adults: A Retrospective Review from a Single Institution

Kim

2021

OAEM

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Purpose Intussusception is uncommon in adults and often manifests as nonspecific symptoms. Owing to its low incidence and the lack of knowledge on the symptoms, causes, and treatment of adult intussusception (AI), many surgeons may have limited experience in the diagnosis and treatment of intussusception. This study aimed to describe the experience of AI and discuss its clinical presentation, etiology, and management. Material and Methods I retrospectively reviewed patients aged 19 years and older who were diagnosed with intussusception at a single institution between March 2010 and December 2019. Results Among 28 patients who were finally analyzed, abdominal pain was the most commonly observed symptom. Ileocolic and ileoileal intussusceptions were the most common locations, and a lead point was observed in 19 cases (68%), of which malignancy was observed in six (21%). Bowel resection was performed in 27 cases. According to the pathological findings of the tissue from the resected section, nine and three cases of small bowel intussusception (SBI) were benign and malignant, respectively, whereas 13 and three cases of colonic intussusception (CI) were benign and malignant, respectively. On comparing SBI and CI, it was observed that most variables did not significantly differ, except for the duration of symptoms. Conclusion SBI had a higher lead point than CI. The rate of malignancy in CI cases in this study was lower than that reported in other studies. En-bloc resection can be considered the first option for the treatment of AI.

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“…The summary of the treatment methods for postoperative intussusception in adults is as follows [ 1 ]: conservative treatment can be performed first for small bowel intussusception, followed by surgical reduction or resection when ineffective [ 2 ] for patients with short onset time, gastroscopic dilatation, inflation therapy, and pushing ring can be tried within 48 hours of onset [ 3 ] emergency surgical resection should be performed if there is significant intestinal inflammation, ischemic necrosis, and CT indicates tumor or other induction points [ 4 ] other conditions can be surgically manipulated by? reduction [ 28 – 30 , 67 ]…”

Section: Introductionmentioning

confidence: 99%

Intussusception after reconstruction following gastrectomy for gastric cancer

Xia

Sun

et al. 2021

World J Surg Onc

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Background Gastric cancer is the most prevalent tumor in Chinese men, and surgery is currently the most important treatment. Billroth II and Roux-en-Y are the anastomosis methods used for reconstruction after gastrectomy. Jejunal intussusception is a rare complication after gastric surgery. Main Body Intussusception after gastric surgery occurs mostly at the gastrojejunostomy site for Billroth II reconstruction, and the Y-anastomosis site for Roux-en-Y reconstruction. Many studies have reported that postoperative intussusception appears at the anastomosis after bariatric surgery, while a few have reported intussusception at the anastomosis and its distal end after radical gastrectomy. Conclusion A review was carried out to analyze intussusception after radical gastrectomy with roux-en-y anastomosis during the current situation. And the relevant mechanisms, diagnosis, treatment methods, etc. are described, hoping to provide better guidance for clinicians

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An appraisal of the presentation and management of adult intussusception at a Nigerian Tertiary Hospital

Cited by 6 publications

References 25 publications

A clinicopathologic study of intussusception in Nepalese adults

A clinicopathologic study of intussusception in Nepalese adults

Intussusception in Adults: A Retrospective Review from a Single Institution

Intussusception after reconstruction following gastrectomy for gastric cancer

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