Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study

Abstract

Intussusception rarely occurs in adults, but nearly half of their causes are malignant. The CT scan is a helpful examination for enteric intussusceptions whether barium enema seems to be the most performing method for colonic lesions. Surgery is the recommended treatment, with or without a primary reduction of the intussusception. During the surgical procedure, this reduction can lead to a more limited bowel resection.

A Clinical Overview of a Retrospective Study About Adult Intussusceptions: Focusing on Discrepancies Among Previous Studies

“…The great percentage of adult intussusception are of the enteric, colocolic, ileocecal, and ileocolic type [2,19,20]. Intussusception occurs more frequently in the small (50-88%) than in the large bowel (12-50%) [1,2,4,6,7,14]. In our series, the proportion for location of intussusception was similar to the previous studies, and the most common type was enteric intussusceptions (52.4%).…”

“…Adult intussusceptions are detected by plain abdominal film, barium studies, abdominal sonography, abdominal computerized tomography (CT), angiography, radionucleotide studies, and magnetic resonance imaging [2,4,9,12,13,19]. Although judgment to choose diagnostic imaging techniques varies, abdominal CT scan provides the best accurate diagnostic rate for intestinal intussusceptions [6,8,9,[11][12][13].…”

“…The great percentage of adult intussusception are of the enteric, colocolic, ileocecal, and ileocolic type [2,19,20]. Intussusception occurs more frequently in the small (50-88%) than in the large bowel (12-50%) [1,2,4,6,7,14].…”

“…Additionally, each study reported different locations of intussusception. Adult intussusception occurs more frequently in the small (50-88%) than in the large bowel (12-50%) [1,2,4,6,7,14]. On the other hand, 0% (N = 0/9) [11], 25% (N = 2/8) [13], 41.7% (N = 10/24) [12], and 54.3% (N = 25/46) [9] of cases in the four studies have been reported.…”

“…Adult intussusception occurs infrequently, accounting for only 1% of all cases of intestinal obstructions and 5% of all intussusception [1,2]. It differs from the childhood condition in its presentations, cause, and treatment [3].…”