Predictive Factors of Malignancy in Adults with Intussusception

Goh, Brian K.P.; Quah, Hak-Mien; Chow, Pierce K. H.; Tan, Kok‐Yang; Tay, Kiang-Hiong; Eu, Kong‐Weng; Ooi, London Lucien; Wong, Wai‐Keong

doi:10.1007/s00268-005-0491-1

Cited by 85 publications

(119 citation statements)

References 29 publications

(80 reference statements)

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“…Similar to the results of Zubadi et al [1] , enteric type intussusception is the most common type in our series. However, in the report of Goh et al [4] of 60 cases of AI, ileocolic (25％) and ileocecal-colic (13.3%) types were the most common. Their enteric type occupied 26.7%.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is believed that any lesion in the bowel wall or irritant within the lumen that alters normal peristaltic activity is able to initiate an invagination. Ingested food and subsequent peristaltic activity of the bowel produces an area of constriction above the stimulus and relaxation below, thus telescoping the lead point through the distal bowel lumen [1,3,4] . Similar to the results of Zubadi et al [1] , enteric type intussusception is the most common type in our series.…”

Section: Discussionmentioning

confidence: 99%

“…Intussusception was preoperatively diagnosed by abdominal ultrasonography with the target and doughnut signs on transverse view and the pseudokidney sign in the longitudinal view [1] . Intussusception was preoperatively diagnosed by multi-slice spiral computed tomography (CT) scans with the characteristic target or sausage sign, edematous bowel wall and mesentery in the lumen [4,5] .…”

Section: Methodsmentioning

confidence: 99%

“…Recently, with the signs of target or sausage, mesenteric fat and vessels, abdominal CT scan has been reported to be the most useful imaging technique, with a diagnostic accuracy is 58%-100% [3][4][5]7,8] . Recent studies have demonstrated the superiority of CT in revealing the site, level, and cause of intestinal obstructions and in demonstrating threatening signs of bowel nonviability [9,10] .…”

Section: Figure 3 Efferent Loop Intussusception With a Tubementioning

confidence: 99%

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Adult intussusception: A retrospective review of 41 cases

Wang

Cui²,

Liu³

et al. 2009

WJG

218

263

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AIM:To optimize the preoperative diagnosis and surgical management of adult intussusception (AI). METHODS:A retrospective review of the clinical features, diagnosis, management and pathology 41 adult patients with postoperative diagnoses of intussusception was conducted. RESULTS:Forty-one patients with 44 intussusceptions were operated on, 24.4% had acute symptoms, 24.4% had subacute symptoms, and 51.2% had chronic symptoms. 70.7% of the patients presented with intestinal obstruction. There were 20 enteric, 15 ileocolic, eight colocolonic and one sigmoidorectal i n t u s s u s c e p t i o n s . 6 5 . 9 % o f i n t u s s u s c e p t i o n s were diagnosed preoperatively using a computed tomography (CT ) scan (90.5% accurate) and ultrasonography (60.0% accurate, rising to 91.7% for patients who had a palpable abdominal mass). Coloscopy located the occupying lesions of the lead point of ileocolic, colocolonic and sigmoidorectal intussusceptions. Four intussusceptions in three patients were simply reduced. Twenty-one patients underwent resection after primary reduction. There was no mortality and anastomosis leakage perioperatively. Except for one patient with multiple small bowel adenomas, which recurred 5 mo after surgery, no patients were recurrent within 6 mo.Pathologically, 54.5% of the intussusceptions had a tumor, of which 27.3% were malignant. 9.1% comprised nontumorous polyps. Four intussusceptions had a gastrojejunostomy with intestinal intubation, and four intussusceptions had no organic lesion. CONCLUSION:CT is the most effective and accurate diagnostic technique. Colonoscopy can detect most lead point lesions of non-enteric intussusceptions. Intestinal intubation should be avoided.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Figure 3 Efferent Loop Intussusception With a Tubementioning

confidence: 99%

See 2 more Smart Citations

Adult intussusception: A retrospective review of 41 cases

Wang

Cui²,

Liu³

et al. 2009

WJG

218

263

View full text Add to dashboard Cite

show abstract

“…However, obesity and the presence of massive air in the distended bowel loops limit the image quality and the subsequent diagnostic accuracy. Recently, with the target or sausage sign, abdominal CT scan has been reported to be the most useful imaging technique, with a diagnostic accuracy is 58%-100% [2,7,8,12,[17][18][19] . In our series 86.6% patients were diagnosed preoperatively by this technique.…”

Section: Discussionmentioning

confidence: 99%