Intussusception in adults: institutional review11No competing interests declared.

Eisen, Leon; Cunningham, John D.; Aufses, Arthur H.

doi:10.1016/s1072-7515(98)00331-7

Cited by 348 publications

(434 citation statements)

References 11 publications

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“…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%).…”

Section: Discussionsupporting

confidence: 87%

“…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].…”

Section: Discussionmentioning

confidence: 99%

“…The causative lead point can be a benign polyp, lipoma, appendix, Meckel's diverticulum, or malignant tumors such as lymphoma, gastrointestinal stromal tumor, or primary or metastatic adenocarcinoma [4,5,9]. Most studies reported that 60-80% of enteric intussusception were benign and 50-65% of colonic intussusception were malignancy [2,3,6,9,12,15,16].…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 86%

“…It differs from the childhood condition in its presentations, cause, and treatment [3]. Demonstrable etiology is found in 70-90% of cases of adult intussusception, and approximately 40% of them are caused by primary or secondary malignant neoplasm [4,5].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2008

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This study was to determine clinical entity of adult intussusception, focusing on discrepancies among previous studies and to retrospectively investigate the factors associated with malignancy and survival for 10 years. In our study, 3.7% (N = 42) of intussusception were adults. The most common symptom was acute abdominal pain (64.3%). Enteric, ileocolic, ileocecal, and colocolic intussusception included 52.4, 9.5, 14.3, and 23.8% of patients, respectively. Two patients (9.1%) with enteric (N = 22), no patient with ileocolic (N = 4), three patients (50%) with ileocecal (N = 6), and five patients (50%) with colocolic (N = 10) intussusception were malignant. The factor associated with malignancy was only chronic abdominal pain without acute abdominal pain (P = 0.018) and the absence of fever and ileocecal intussusception were associated with survival (P = 0.010, 0.009). In our study, the most common symptom was acute abdominal pain, and enteric intussusception was the most common type. The difference in clinical presentation and location of intussusception might have resulted from small number of cases or selection of cases.

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