Small bowel intussusception in celiac disease

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N Mushtaq1, S Marven, J Walker

  • 1Department of Paediatric Surgery, Leeds Teaching Hospitals Trust, England.

Journal of Pediatric Surgery
|January 8, 2000
PubMed

Insights

Intussusception is a rare but recognized complication of celiac disease. Spontaneously resolving small bowel intussusception in children warrants celiac disease investigation.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Radiology

Background:

  • Celiac disease is an autoimmune disorder triggered by gluten ingestion.
  • Intussusception, a gastrointestinal emergency, is typically associated with other pediatric conditions.
  • The link between celiac disease and intussusception is not widely established.

Observation:

  • The authors present three pediatric cases of intussusception.
  • All cases involved spontaneously resolving small bowel intussusception.
  • Celiac disease was identified in association with these intussusception events.

Findings:

  • Small bowel intussusception in children suspected of having celiac disease should be managed expectantly.
  • Early surgical intervention may not be necessary for these cases.
  • Transient intussusception detected via imaging necessitates celiac disease screening.

Implications:

  • This study highlights the importance of considering celiac disease in pediatric intussusception.
  • Diagnostic imaging for intussusception can serve as a screening tool for celiac disease.
  • A non-surgical approach may be appropriate for select cases, reducing patient risk and healthcare costs.

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