Profile and outcome of pediatric intussusception: a 5-year experience in a tertiary care center

Abstract

Background Intussusception is the most frequent cause of bowel obstruction in infants and toddlers; idiopathic intussusception occurs predominantly under the age of 3 and is rare after the age of 6 years; the highest incidence occurs in infants between 4 and 9 months; the gold standard for treatment of intussusception is non-operative reduction. This research will tackle the problem of pediatric intussusception in our center which is the largest tertiary center in our region. The primary outcome is to study the profile of intussusception; the secondary outcome is to assess the success rate of pneumatic reduction in the center’s pediatric population as well as to study the seasonal variation if present. Results During the study period, eighty-six (N=86) cases were identified, from which 10 cases were recurrent intussusception. Seventy-six (N=76) cases were included from the study period. N=68 (89%) were less than 3 years of age, and only N=2 (3%) were above 6 years. Seasonal variation was not significant; N=69 (91%) patients had successful pneumatic reduction under fluoroscopy while thirteen patients N=13 (17%) needed operative intervention. Conclusion Ileocolic intussusception is one of the most common pediatric surgical emergencies that can be successfully managed non-operatively in our institute; 89% of the cases were below 3 years of age, and no seasonal variation was demonstrated. Operative intervention was required in 13 cases with the main reason being lead point. The fact that the pediatric surgeon performs the reduction might have contributed to a high success rate reaching 91% in our center. This study provides a valuable opportunity for future regional data comparisons and pooled data analyses.

Clinical profile and treatment outcome of acute intussusception among children in eastern Ethiopia: A seven years retrospective study

“…This finding is comparable with the findings of Jimma University Medical Center ( 22 ), Tanzania ( 21 ) and systematic reviews in African countries ( 23 ). However, it was higher than the findings of studies from South Korea ( 24 ), Latin America ( 16 ), Vietnam ( 4 ), South Africa ( 7 ), Nigeria ( 25 ), and Bahrain ( 26 ). The possible reason for this discrepancy may be attributed to the huge variations in medical infrastructure accessible for the population and the quality of health care, coupled with the unavailability of recommended modern interventions for the management of acute intussusception.…”

A Case Series on the Management of Intussusception in Infants: Challenging Entity While Deployed in Remote Settings During Overseas Deployment

“…A retrospective study done by Madan et al [13] concludes that most of the intussusceptions that came as surgical emergencies in their institute were managed non-operatively. About 89% of cases were below 3 years of age, and no seasonal variation was demonstrated.…”

Is Childhood Intussusception Seasonal? A Single Center Experience

“…The portion that invaginates is called intussusceptum while the portion that receives the intussusceptum is the intussuscipiens [1]. Intussusception is a common cause of intestinal obstruction in infants and a frequent cause of pediatric abdominal surgical emergency [2]. Peak age of childhood intussusception has been quoted as 4 to 10 months and its incidence is between 34 and 100 per 100,000 children [3,4].…”