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Related Experiment Videos

Intussusception in adults: institutional review.

L K Eisen1, J D Cunningham, A H Aufses

  • 1Department of Surgery, The Mount Sinai Medical Center, New York, NY, USA.

Journal of the American College of Surgeons
|April 9, 1999
PubMed
Summary
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Adult intussusception is rare and often requires surgery. This study found that colonic intussusceptions should be resected without reduction, while small bowel cases may be reduced selectively.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Imaging

Background:

  • Adult intussusception is an uncommon condition with varied causes, distinct from pediatric cases.
  • Optimal management strategies for adult intussusception remain debated.
  • Understanding the etiology and treatment outcomes is crucial for patient care.

Purpose of the Study:

  • To investigate the causes of adult intestinal intussusception.
  • To evaluate the role of intestinal reduction in the management of adult intussusception.
  • To inform treatment guidelines for this rare condition.

Main Methods:

  • Retrospective review of 27 adult patients (≥16 years) diagnosed with intestinal intussusception.
  • Analysis of patient data including presentation, diagnosis, treatment, and pathology.

Related Experiment Videos

  • Categorization of lesions by location (small bowel vs. colon) and malignancy.

    • Main Results:

    • Abdominal pain was the most frequent symptom; preoperative diagnosis was made in 40% of cases.
    • 85% of intussusceptions had a pathologic cause, with malignancy rates of 36% in small bowel and 80% in colonic lesions.
    • Resection alone was performed in 58% of patients; resection after reduction in 42%.

    Conclusions:

    • A selective operative approach is recommended for adult intussusception.
    • Colonic intussusceptions warrant resection without prior reduction due to high likelihood of adenocarcinoma.
    • Small bowel intussusception reduction should be reserved for cases with preoperatively diagnosed benign etiology or to prevent short gut syndrome.