The diagnosis and management of adult intussusception

Begos, Dennis G.; Sándor, András; Modlin, Irvin M.

doi:10.1016/s0002-9610(96)00419-9

Cited by 549 publications

(762 citation statements)

References 23 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%

“…Unlike the typical pediatric presentation of acute onset, such as episodic abdominal pain, currant jelly stools, and vomiting, adults often present with a vague history of symptoms. According to previous studies, leading symptoms in adult intussusception are those of mechanical bowel obstruction, predominantly nausea, emesis, and acute abdominal pain: Acute abdominal pain is shown in 61.5% (N = 8/13), 69.2% (N = 9/13) or 78.0% (N = 45/55) of patients [6][7][8].…”

Section: Discussionmentioning

confidence: 97%

“…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%

“…According to the literature, the most common symptom of intussusception is acute abdominal pain [6][7][8]. Five studies reported that both acute and chronic abdominal pain is relatively similar or chronic abdominal pain is even higher in intussusception [9][10][11][12][13].…”

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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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

et al. 2008

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“…In contrast to intussusception in children, adult intussusceptions often present as chronic intermittent cramping abdominal pain associated with nonspecific signs of bowel obstruction including nausea, vomiting, gastrointestinal bleeding, constipation, or abdominal distention. 5 One surgical series of 58 adults noted that intussusceptions with malignant etiologies were more likely to have hemoccult-positive stools and tended to occur in older populations. 6 Abdominal CT is now widely regarded as the modality of choice for diagnosing intussusceptions in adults.…”

Section: Discussionmentioning

confidence: 99%