Presenting clinical features and outcome in intussusception

Çiftçi, Arbay Ö.; Karaağaoğlu, Ergün; Tanyel, Feridun Cahit; Şenocak, Mehmet Emìn

doi:10.1007/s12098-009-0129-7

Cited by 11 publications

(11 citation statements)

References 7 publications

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“…Although Fallon et al Khorana et al and He et al reported that the history of vomiting led to lower success rates, no significant correlation was found in our study between the history of vomiting and the success of the procedure (19,25,26).…”

Section: Discussioncontrasting

confidence: 78%

“…Literature shows that rectal bleeding decreases the success rate of reduction (18,19,(23)(24)(25)(26)(27)(28)(29). Rectal bleeding is an indicator of edema and circulatory impairment and is seen in 60% of the patients with intussusceptions (3).…”

Section: Discussionmentioning

confidence: 99%

“…The relationship between the length of the invaginated segment measured on USG and the success of the procedure has been investigated only by He et al and Ozcan et al He et al reported that the success rate was lower in the patients with a length of > 7 cm, whereas Ozcan et al found no relationship between the length of the invaginated segment and the success of the procedure (21,26). In our study, we found that a 1-cm increase in the length of the invaginated segment decreased the success rate by 2.36 times and the correlation between the length of the segment and the failure of the procedure was statistically significant.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound Guided Reduction of Intussusception with Saline and Evaluating the Factors Affecting the Success of the Procedure

2018

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Background: Intussusception is a major cause of acute abdomen in childhood. Prompt diagnosis and appropriate treatment of intussusception is of prime importance for preventing morbidity and mortality. In this study, we aimed to investigate the effectivity of ultrasound (USG)-guided hydrostatic reduction of intussusception with saline and to investigate the factors affecting the success of this method. Methods: A total of 100 children with intussusception who were treated by hydrostatic reduction with saline were retrospectively reviewed. The effect of age, gender, duration of symptoms, rectal bleeding, number of reduction attempts performed, and the diameter and length of the invaginated segment measured on USG were evaluated. Results: Successful reduction was achieved in 88 (88%) patients. Mean age was 24.83 months, with 25.59 months in patients with successful reduction and 20 months in patients with failed reduction. Reduction was successful in 83.9% of the patients with a history of rectal bleeding and in 94.7% of the patients with no history of rectal bleeding (P > 0.05). Mean duration of symptoms was 2.74 days in the patients with successful reduction and 4.33 days in the patients with failed reduction. The mean diameter and length of the invaginated segments measured on USG were 3.5 cm and 5.12 cm in the patients with successful reduction and 4.27 cm and 9.23 cm in the patients with failed reduction, respectively. No significant difference was observed between the patients with successful and failed reduction in terms of rectal bleeding, vomiting, gender, age, and body weight (P > 0.05). It was also found that success rate increased as the number of reduction attempts increased and the success rate decreased as the duration of symptoms and the diameter and the length of the invaginated segment increased (P < 0.05). Conclusions:In conclusion, USG-guided reduction of intussusception with saline is a practical and safe method that yields high success rates. Repeating this method in patients with partial reduction that are clinically stable leads to a significant increase in the success of the procedure. A prolonged duration of symptoms and an increase in the size and the diameter of the invaginated segment may have adverse effects on the success of the procedure.

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Section: Discussioncontrasting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Ultrasound Guided Reduction of Intussusception with Saline and Evaluating the Factors Affecting the Success of the Procedure

2018

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“…There are two broad treatment options; conservative management (reduction with barium or air [13], and close observation) and surgical intervention. Conservative treatment is used for those in the younger age group and patients with no demonstrable anatomical ‘lead point’, following radiological investigations.…”

Section: Discussionmentioning

confidence: 99%

A ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report

Ongom¹,

Wabinga²,

Lukande³

2012

J Med Case Reports

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IntroductionIntussusception is an uncommon cause of intestinal obstruction in adults. It usually presents with typical features of intestinal obstruction, and is associated with the presence of a ‘lead point’ for the invaginated portion. This ‘lead point’ is rarely an intraluminal, submucosal lipoma.Case presentationWe describe the case of a 64-year-old African-Ugandan woman of Bantu ethnicity who presented with features of intestinal obstruction secondary to intussusception. She was treated operatively. A left colocolonic invagination was found with the interssusceptum having a giant polyp. A left hemicolectomy was performed. A histopathological examination revealed a polypoid, submucosal lipoma.ConclusionsIn resource-rich countries, most cases of colonic intraluminal polyps are detected through colonoscopy during routine medical check-ups. With limited resources in our region, many tumors present as intestinal obstructions secondary to intussusception. Even then, most are associated with adenomas and malignancies. Rarely are polypoid, submucosal lipomas found. In our patient’s case a polyp of 9.5cm at its widest dimension is of particular interest. A lesson to learn is that the differential diagnosis for intussusceptions in resource-poor countries should be broadened to include submucosal lipomas.

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“…The most significant clinical symptom is bloody diarrhea, with abdominal pain or cramps that may change quickly [18,19]. As long standing intussusception will endanger the bowel, this is an emergency situation, and can be sufficiently addressed (and treated) by US.…”

Section: Typical Conditions Of Later Childhoodmentioning

confidence: 99%

Role and potential of modern ultrasound in pediatric abdominal imaging

Pilhatsch¹,

Riccabona²

2011

Imaging in Medicine

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REVIEWChildren and especially infants are not small adults -they suffer from specific diseases, present different imaging demands and have increased radiation sensitivity. One important aspect of ongoing continuous improvement of medical imaging is the increasing potential of ultrasound (US); this may help to minimize radiation by replacing or obviating other imaging. This important task, particularly in childhood, can only be achieved by providing dedicated skilled pediatric US to children 24 h, 7 days a week.The purpose of this review is to give some key advice on pediatric US, to list and illustrate typical pediatric conditions, to debate the relevant respective differential diagnoses and how US can reliably provide diagnostically relevant information with implications on therapy. For those who are familiar with pediatric radiology the following should be a useful review with some highlighted details. For everyone else this review should demonstrate what is achievable by modern US in children, completely different from the US potential in (obese) adult patients. We will aim to point out the significance of US in common and important pediatric abdominal queries and emphasize the difference between adults and children not only in terms of pathology, but also in the application and potential of the modality itself.Ultrasound (US) has gained its place as the preferred first-line imaging modality in the child's abdomen. Especially in infants US has advantages -the small amount of tissue and fat creating restrictions to CT and MRI allows for application of high-resolution (especially linear) transducers, offering excellent imaging capabilities; in addition, US is applicable at the bedside and can be performed without sedation. As radiation protection has become a key issue for imaging children, exploiting US to the utmost using all its possibilities and applying modern methods that have significantly widened US potential is an indispensable and increasingly important approach. This review illustrates standard US techniques, basic and new applications throughout the entire abdomen and its different organ systems, trying to point out the enormous potential of US in different clinical scenarios, focusing on gastrointestinal and urogenital issues. Future perspectives provided by new modalities such as contrastenhanced and 3D US will further strengthen the diagnostic value of this powerful imaging tool, hopefully contributing to continuing reduction of diagnostic radiation burden to children, by diminishing the need for CT. KEYWORDS: abdomen n children n gastrointestinal n infants n pediatric ultrasound n urinary tract

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Presenting clinical features and outcome in intussusception

Cited by 11 publications

References 7 publications

Ultrasound Guided Reduction of Intussusception with Saline and Evaluating the Factors Affecting the Success of the Procedure

Ultrasound Guided Reduction of Intussusception with Saline and Evaluating the Factors Affecting the Success of the Procedure

A ‘giant’ intraluminal lipoma presenting with intussusception in an adult: a case report

Role and potential of modern ultrasound in pediatric abdominal imaging

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