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Related Experiment Videos

Postoperative intussusception, causal or casual relationships?

N Eke1, J M Adotey

  • 1Department of Surgery, University of Port Harcourt, Nigeria.

International Surgery
|October 9, 2001
PubMed
Summary

Postoperative intussusception (POI) is a rare complication occurring within a month of surgery. Diagnosis requires high suspicion, and treatment involves operative reduction, with prevention focusing on careful surgical technique.

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Abdominal Surgery

Background:

  • Postoperative intussusception (POI) is an infrequent complication following abdominal surgery.
  • While primary intussusception is reported globally, POI is exceptionally rare, with limited documented cases, particularly from Africa.

Purpose of the Study:

  • To review the literature on postoperative intussusception (POI).
  • To understand the characteristics, risk factors, diagnosis, and management of POI.

Main Methods:

  • A comprehensive literature review of postoperative intussusception (POI) was conducted.
  • Searches included Medline (1966-1998) and relevant reference lists.

Main Results:

  • POI typically manifests within one month post-operation and differs from primary intussusception.

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  • Risk factors include prolonged postoperative ileus, extensive surgery, radiation, and chemotherapy.
  • Diagnosis necessitates a high index of suspicion; contrast radiology is unreliable.

    • Conclusions:

    • Operative reduction is the preferred treatment for POI; resection may be necessary.
    • Preventive strategies involve meticulous surgical handling of intestines.
    • The low reporting rate from Africa suggests potential underdiagnosis.