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Postoperative intussusception in children
S de Vries1, C Sleeboom, D C Aronson
1Paediatric Surgical Centre Amsterdam, Emma Children's Hospital AMC, University of Amsterdam, The Netherlands.
Insights
Postoperative intussusception is a rare complication in children following surgery. Early recognition and intraoperative reduction are key to successful treatment of this condition.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Postoperative intussusception is an infrequent cause of intestinal obstruction in pediatric patients.
- This condition is often overlooked in the postoperative period.
Purpose of the Study:
- To analyze the characteristics and outcomes of postoperative intussusception in children.
- To emphasize the importance of considering this diagnosis in the pediatric age group.
Main Methods:
- Retrospective analysis of eleven consecutive cases of postoperative intussusception.
- Data collected over a 16-year period (1981-1997).
Main Results:
- Symptoms typically appeared a median of 5 days post-operation.
- Diagnosis was often delayed, usually made during reoperation.
- Ten out of eleven cases were successfully treated with manual reduction during surgery.
Conclusions:
- Postoperative intussusception is a rare but characteristic complication in pediatric patients.
- Clinicians should maintain a high index of suspicion for this condition in children presenting with postoperative intestinal obstruction.
Background:
Postoperative intussusception is an uncommon and sometimes forgotten cause of postoperative intestinal obstruction in children.
Methods:
Eleven consecutive cases of postoperative intussusception during a period of 16 years (1981-1997) were analysed retrospectively.
Results:
Symptoms developed after a median period of 5 days after operation. With one exception, postoperative intussusception was not diagnosed before reoperation. In ten of the 11 cases the intussusception was successfully treated with intraoperative manual reduction.
Conclusion:
Postoperative intussusception is a rare but typical complication in the paediatric age group and should be kept in mind.