Epidemiology of intussusception among infants in Togo, 2015-2018

Tsolenyanu, Enyonam; Akakpo-Numado, K.G.; Akolly, D.A.E.; Mwenda, Jason M.; Tate, Jacqueline E.; Boko, Amevegbe; Landoh, Dadja Essoya; Gnassingne, Komlan; Atakouma, Y.D.; Parashar, Umesh D.

doi:10.11604/pamj.supp.2021.39.1.21343

Cited by 1 publication

(7 citation statements)

References 37 publications

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“…The sex ratio remained stable through the study period as there was no significant change in the proportion of males and females affected by intussusception. There remained more males than females and this is similar to findings in some other studies from Africa 12 , 13 , 18 , 20 , 23 and beyond 7 , 21 , 26 , 27 .…”

Section: Discussionsupporting

confidence: 90%

“…This finding is opposed to some other publications where bowel resection featured less prominently 9,21,26 . The high prominence of bowel resection as a treatment modality is likely due to persisting late presentation as also seen in many other African studies 11,14,20,22,23 . Bowel resection was also the main treatment modality in some other publications 1,13,14,19,20,29 .…”

Section: Discussionmentioning

confidence: 79%

“…It was observed from the current study that there was no significant reduction in symptom duration at presentation over the 12 years. From other studies, late presentation to the final treatment healthcare facility is still a challenge in many developing countries 18,20,22 . The exact reasons for late presentation may not be easily known but are multifactorial and occur at multiple levels 22 and some authors have attributed this to poverty, ignorance, wrong diagnosis, and delayed referrals 17,19 .…”

Section: Discussionmentioning

confidence: 99%

“…In LICs and lower MICs, the majority of the patients had red currant jelly stool signifying late presentation 3 , 17 , 13 . Mortality is high in LICs and Lower MICs 12 , 14 , 19 , 20 but low in HICs 7 , 10 , 21 .…”

Section: Introductionmentioning

confidence: 92%

“…In LICs and lower MICs, the majority of the patients had red currant jelly stool signifying late presentation 3,17,18 . Mortality is high in LICs and Lower MICs 12,14,19,20 but low in HICs 7,10,21 . It is thought that over years, with cross-fertilization of ideas and appropriate interventions, the profile and management outcomes of intussusception in LICs and Lower MICs will gradually transit to what is obtainable in upper MICs and HICs.…”

Section: Introductionmentioning

confidence: 98%

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Trends in childhood intussusception in a Nigerian tertiary hospital

Obiora Ezomike,

Ifeanyi Nwangwu,

Sunday Chukwu

et al. 2024

Afr H. Sci.

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Background: Early presentation, high rate of successful non-operative treatment, low morbidity and mortality in childhood intussusception is common in High and Upper Middle-Income Countries but not in many Lower middle- and Low-income countries. Aim: To assess the trends in the profile, treatment modalities and outcomes of intussusception in our hospital. Materials and methods: Retrospective study over a 12-year period divided into two 6-year periods. Data entry/analysis was done using SPSS and various indices were compared between these two periods. Two-tailed t-test for two independent means was used to compare means while two-tailed Fisher exact tests were used to compare categorical variables. Results were presented as tables, means, ranges, percentages and a p-value less than 0.05 was deemed statistically significant. Results: There was a significant increase in the proportion of successful non-operative treatment (18.6% vs 34%, p=0.03), reduction in the incidence of operative manual reduction (27.1% vs 12.8%; p=0.026), reduction in operative treatment (78.5% vs 63.9%, p=0.034), increased utilization of pre-intervention ultrasound (75% vs96.7%, p<0.0001) and reduction in hospital stay duration (10.47 ±7.95days vs 7.24±4.86 days; p=0.004). Conclusions: Contribution of successful non-operative treatment to the overall treatment of intussusception significantly increased while that of operative manual reduction significantly reduced and bowel resection showed no change. Preoperative utilization of ultrasonography significantly increased while mean duration of admission reduced significantly, but late presentation, morbidity and mortality rates had no significant changes. Keywords: Trends; childhood; intussusception; Nigerian; tertiary hospital.

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