The operative treatment of acute intussusception in infants and young children

Swenson, Orvar; Oeconomopoulos, Chris T.

doi:10.1016/0002-9610(62)90528-7

Cited by 11 publications

(4 citation statements)

References 13 publications

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“…The statistics published during the past decade from 12 centres in America (Hays et al, 1960;Kellogg and Bill, 1961;Swenson and Oeconomopoulos, 1962;Benson, Lloyd, and Fischer, 1963;Peck, Lynn, andDuShane, 1963), Britain (Dennison andShaker, 1970;Suita, 1970;Hood, 1967), Scandinavia (Hansen and Pedersen, 1968), and Australia (Wright, 1963;Nelson, 1960;Auldist, 1970) compared with the present figures from South Africa show in many respects fair similarity. The numbers admitted per annum to various centres differ widely, but without accurate incidence figures interpretation is difficult.…”

Section: Discussionsupporting

confidence: 48%

“…The numbers admitted per annum to various centres differ widely, but without accurate incidence figures interpretation is difficult. The sex ratios vary little, from 54% males in Dublin (Hood, 1967) to 73% males in Boston (Swenson and Oeconomopoulos, 1962). The proportion of children under 1 year of age varies between 56% and 71% with one exception: in the Danish (Hansen and Pedersen, 1968) series only 37 % fell into this age group.…”

Section: Discussionmentioning

confidence: 99%

“…The apex of the intussusception was palpable per rectum in 26% of the Cape Town series, whereas the percentage from other centres varies from 4% to 11% (Dennison and Shaker, 1970;Hays et al, 1960;Suita, 1970;Wright, 1963;Swenson and Oeconomopoulos, 1962;Auldist, 1970). The proportion of cases undergoing laparotomy ranges from about 95% in those centres where hydrostatic reduction is virtually never used (Dennison and Shaker, 1970;Hays et al, 1960;Suita, 1970;Benson et al, 1963;Peck et al, 1963) to 40% where it is used primarily in all suitable cases (Hansen and Pedersen, 1968;Nelson, 1960).…”

Section: Discussionmentioning

confidence: 99%

“…Excluding the 5 smaller series of less than 130 patients however (Wright, 1963;Kellogg and Bill, 1961;Swenson and Oeconomopoulos, 1962;Peck et al, 1963;Hood, 1967), the best results in every respect are from Liverpool (485 cases) with an overall mortality of 0 6%, no deaths in 59 resections, and 2 deaths in 403 operative reductions (0'5%). One child died before treatment could be offered (Suita, 1970).…”

Section: Discussionmentioning

confidence: 99%

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Intussusception in Infancy and Childhood in Southern Africa: A Review of 223 Cases

Mayell¹

1972

Archives of Disease in Childhood

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Mayell, M. J. (1972). Archives of Disease in Childhood, 47, 20. Intussusception in infancy and childhood in Southern Africa. A review of 223 cases. Two hundred and twenty-three cases of intussusception admitted over a 9a-year period are analysed. Six deaths occurred.Sigmoidorectal intussusception occurred on 5 occasions and in each case was referred as a case of rectal prolapse, and the diagnosis and management of this particular form of intussusception are discussed.Intussusception is a common cause of intestinal obstruction in infancy and childhood and its occurrence is world wide. That there are geographical variations in its incidence is well known, but a review of the cases admitted to the Children's Hospital in Cape Town has shown certain other differences not previously reported. It is the purpose of this paper to present the Cape Town experience with intussusception and to draw attention to and comment upon these apparent continental and racial variations in the disease pattern.The data presented are drawn from a review of 223 children admitted with intussusception to hospital during a 91-year period ending in May 1970. The hospital is multiracial and admits children of all ages up to and including 12 years.The mean annual admission rate for the review period was 23 5 but the variation from year to year was quite marked (Fig. 1) have been termed idiopathic in the absence of any obvious local lesion though in many cases more general predisposing factors were present; their significance is discussed later.The age range was from 1 month to 11 years, the peak incidence being between 4 and 8 months (Fig. 2). Idiopathic intussusception was more common in infants under 1 year (129/206 or 63%), whereas 14 of the 17 cases with leadpoint pathology were over the age of 1 year. Separate consideration of the 3 main racial groups showed that most of the European children were under 1 year (36/41), two-thirds of the African

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Section: Discussionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Intussusception in Infancy and Childhood in Southern Africa: A Review of 223 Cases

Mayell¹

1972

Archives of Disease in Childhood

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Intussusception in Children

Minami¹

1975

Am J Dis Child

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The records of 104 patients with the diagnosis of intussusception who were admitted to the Saisei-kai Suita Hospital during the past five years were reviewed. There were no deaths. All patients were treated primarily by barium enema with a successful reduction rate of 82%. Successful reduction requires the use of general anesthesia, repetition of the procedure after a three- or five-minute waiting period, use of a balloon catheter, and manipulation. The most important points are early detection of this disease by the pediatrician and enthusiasm on the part of the surgeon.

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