Intussusception

Mandeville, Katherine; Chien, Ming; Willyerd, Frederick; Mandell, Gerald A.; Hostetler, Mark A.; Bulloch, Blake

doi:10.1097/pec.0b013e318267a75e

Cited by 134 publications

(57 citation statements)

References 12 publications

(13 reference statements)

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“…2,3 Although pediatric patients may present with the classic triad of currant jelly stools, colicky abdominal pain, and a palpable abdominal mass, adults typically present with obstructive symptoms. 4,5 Diagnosis is increasing because of widespread availability and use of computed tomography (CT), which identifies intussusception as a sausage—shaped mass with a target sign. Intussusception in adults has traditionally been highly associated with a malignant lead point and, thus, required surgical exploration.…”

mentioning

confidence: 99%

Intussusception in adults and the role of evolving computed tomography technology

Amr

Polites

Alzghari

et al. 2015

The American Journal of Surgery

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BACKGROUND The purpose of this study was to describe a single institution’s experience with adult intussusception and determine how this was influenced by evolving computed tomography (CT) technology. METHODS Adults treated between 1978 and 2013 for intussusception were reviewed. CT utilization and utilization of multislice technology over time were determined. Sensitivity of CT was calculated. RESULTS A total of 318 patients were identified. CT utilization was 72% and it increased over time. The number of channels ranged from 1 to 128. CT sensitivity was greater than 85% for single and multislice scanners. A lead point was identified in 69% of patients and a malignancy in 40%. Surgical exploration was required in 60% of patients and 40% were managed nonoperatively. CONCLUSIONS The diagnosis of intussusception in adults is increasing over time, particularly idiopathic intussusception. This is associated with increased utilization of highly sensitive CT technology, which facilitates the safe nonoperative management in many patients.

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mentioning

confidence: 99%

Intussusception in adults and the role of evolving computed tomography technology

Amr

Polites

Alzghari

et al. 2015

The American Journal of Surgery

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“…This emphasizes the importance of timely intervention and that complaints of abdominal pain and vomiting should not be underestimated. [3,4,17] Hydrostatic or pneumatic reduction is the first treatment option in childhood cases of IC or CC intussusception without perforation and/or peritonitis. Barium and physiological saline solution are used for enema in hydrostatic reduction under fluoroscopic or ultrasonographic vision.…”

Section: Discussionmentioning

confidence: 99%

“…Sudden onset of vomiting, intermittent abdominal pain, and rectal bleeding in the form of currant jelly are typical symptoms. [3][4][5] While aspects of etiology still require clarification, upper respiratory tract infection, adenovirus-associated gastroenteritis, and particularly rotavirus vaccine and infection have been widely…”

Section: Introductionmentioning

confidence: 99%

Is every intussusception treatment an emergency intervention or surgery?

Güney

Fakıoğlu

Acer

et al. 2015

Ulus Travma Acil Cerrahi Derg

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“…Intussusception is the most common cause of small bowel obstruction in infants, with 60% of cases occurring during the first year of life and 90% in those <2 years of age [18]. Both the sensitivity and specificity of US reach up to 100% [19].…”

Section: Intussusceptionmentioning

confidence: 99%

Emergency ultrasonography of the gastrointestinal tract of children

Hwang

2017

Ultrasonography

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Ultrasonography (US) is widely used to evaluate most body parts in pediatric patients because it is simple, noninvasive, easy to use, and applicable in a wide variety of clinical situations. US is the modality of choice for the initial evaluation of acute abdominal pain in pediatric patients because of their small body habitus and the presence of less fat tissue in the abdominal wall and peritoneal cavity. The most important factor in performing pediatric emergency US is the graded compression technique and selection of the proper transducer. The careful evaluation of bowel wall thickening combined with ancillary findings such as fluid collection, increased echogenicity of the mesenteric fat tissue, enlarged lymph nodes, hyperemic bowel changes, and abnormal bowel peristalsis can increase the diagnostic capability of US.

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Intussusception

Cited by 134 publications

References 12 publications

Intussusception in adults and the role of evolving computed tomography technology

Intussusception in adults and the role of evolving computed tomography technology

Is every intussusception treatment an emergency intervention or surgery?

Emergency ultrasonography of the gastrointestinal tract of children

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