Perfil epidemiológico y clínico de la invaginación intestinal en lactantes de la Región Metropolitana

Lucero, Yalda; B, María Teresa Valenzuela; O’Ryan, Miguel

doi:10.4067/s0034-98872004000500005

Cited by 8 publications

(5 citation statements)

References 25 publications

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“…A study of ten African countries showed that 90 per cent of infant intussusceptions required surgery. Operative proportions were similarly high in studies from other LMICs. Death from intussusception is rare in HICs, usually less than 1 per cent.…”

Section: Resultsmentioning

confidence: 68%

Global disease burden of conditions requiring emergency surgery

Stewart

Khanduri

McCord

et al. 2014

Journal of British Surgery

415

336

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Background: Surgical disease is inadequately addressed globally, and emergency conditions requiring surgery contribute substantially to the global disease burden.Methods: This was a review of studies that contributed to define the population-based health burden of emergency surgical conditions (excluding trauma and obstetrics) and the status of available capacity to address this burden. Further data were retrieved from the Global Burden of Disease Study 2010 and the University of Washington's Institute for Health Metrics and Evaluation online data. Results:In the index year of 2010, there were 896 000 deaths, 20 million years of life lost and 25 million disability-adjusted life-years from 11 emergency general surgical conditions reported individually in the Global Burden of Disease Study. The most common cause of death was complicated peptic ulcer disease, followed by aortic aneurysm, bowel obstruction, biliary disease, mesenteric ischaemia, peripheral vascular disease, abscess and soft tissue infections, and appendicitis. The mortality rate was higher in high-income countries (HICs) than in low-and middle-income countries (LMICs) (24·3 versus 10·6 deaths per 100 000 inhabitants respectively), primarily owing to a higher rate of vascular disease in HICs. However, because of the much larger population, 70 per cent of deaths occurred in LMICs. Deaths from vascular disease rose from 15 to 25 per cent of surgical emergency-related deaths in LMICs (from 1990 to 2010). Surgical capacity to address this burden is suboptimal in LMICs, with fewer than one operating theatre per 100 000 inhabitants in many LMICs, whereas some HICs have more than 14 per 100 000 inhabitants. Conclusion:The global burden of surgical emergencies is described insufficiently. The bare estimates indicate a tremendous health burden. LMICs carry the majority of emergency conditions; in these countries the pattern of surgical disease is changing and capacity to deal with the problem is inadequate. The data presented in this study will be useful for both the surgical and public health communities to plan a more adequate response.

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Section: Resultsmentioning

confidence: 68%

Global disease burden of conditions requiring emergency surgery

Stewart

Khanduri

McCord

et al. 2014

Journal of British Surgery

415

336

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“…Los síntomas más frecuentes son dolor abdominal, diarrea en "jalea de grosella", masa palpable en el flanco derecho, irritabilidad, entre otros (1) . La ecografía como método diagnóstico tiene un 100 % de sensibilidad y 88-100 % de especificidad (7) . Sus principales hallazgos son: imagen de una masa ovalada con anillo periférico hipoecogénico y ecogenicidad central conocido como el signo de la diana (corte axial) que representa las paredes intestinales y el mesenterio invaginado; mientras, el Doppler evalúa la hiperemia de las paredes periféricas del asa invaginada versus la ausencia de flujo sugestiva de isquemia (8) .…”

Section: Introductionunclassified

Reducción de intususcepción ileocólica con enema hidrostático bajo guía ecográfica en pacientes pediátricos: Reporte de casos

Matos Rojas,

Bazán,

Chirinos

2023

Rev Gastroenterol Peru

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La intususcepción ileocólica es una emergencia pediátrica con tratamiento inicial no quirúrgico a nivel mundial. La reducción hidrostática bajo guía ecográfica en pacientes pediátricos es un método de tratamiento inicial ampliamente utilizado en el mundo; sin embargo, en nuestro medio no se encuentra difundido su uso. Presentamos 4 casos de pacientes con intususcepción ileocólica tratados mediante enema hidrostático del Niño – San Borja (INSNSB), con reducción terapéutica y sin complicaciones.

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“…A medida que progresan los síntomas, se desarrolla un estado de letargia creciente, lo que también plantea como diagnóstico diferencial cuadros de compromiso neurológico o séptico. No obstante, la frecuencia de los síntomas es variable: la tríada clásica sólo se describe en un 15% a 30% de los pacientes 7 , mientras que un 10% de los lactantes pueden no tener signos de dolor evidente 7 .…”

Section: Introductionunclassified

“…En lactantes, la mayoría de los casos son idiopáticos 7 , sólo en un 2-8% de los pacientes se demuestran alteraciones anatómicas que actúan como causantes de la intususcepción 4,6 , siendo la más frecuente el divertículo de Meckel, especialmente en mayores de 2 años y adultos 2,4 .…”

Section: Introductionunclassified

Invaginación intestinal ileoileal causada por divertículo de Meckel

et al. 2013

Rev. chil. pediatr.

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Ileoileal intussusception due to Meckel's diverticulumIntroduction: Intussusception is the most common cause of intestinal obstruction in infants. At this age, most cases are idiopathic and involve ileocecal locations; meanwhile ileoileal invaginations caused by an anatomic abnormality of the gastrointestinal tract, such as Meckel's diverticulum, are rare. Objective: To report two cases of infant ileoileal intussusception due to Meckel's diverticulum. Case reports: The first patient was a 6 month-old female infant who presented colicky abdominal pain associated with vomiting and bloody stools. The second patient, a 23 month-old male infant with a history of Tetralogy of Fallot and corrective surgery, and DiGeorge syndrome, who consulted the specialists for health worsened due to vomits and severe dehydration, presenting the following days, semi-liquid and non-bloody stools. Conclusions: Ileoileal intussusception is rare in infants, especially those caused by anatomical changes such as Meckel's diverticulum. This association has no pathognomonic signs and its study does not differ from the usual study of intestinal intussusception, but it is important to consider it for management purposes as it involves surgical intervention and considering that the pneumatic reduction is contraindicated.

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Perfil epidemiológico y clínico de la invaginación intestinal en lactantes de la Región Metropolitana

Cited by 8 publications

References 25 publications

Global disease burden of conditions requiring emergency surgery

Global disease burden of conditions requiring emergency surgery

Reducción de intususcepción ileocólica con enema hidrostático bajo guía ecográfica en pacientes pediátricos: Reporte de casos

Invaginación intestinal ileoileal causada por divertículo de Meckel

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