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Related Experiment Videos

[Small bowel intussusception in childhood].

J Siaplaouras1, J D Moritz, L Gortner

  • 1Zentrum für Kinderheilkunde und Jugendmedizin der Justus-Liebig-Universität Giessen, Abteilung Allg. Pädatrie und Neonatologie.

Klinische Padiatrie
|April 5, 2003
PubMed
Summary

Small bowel intussusception is less acute than ileocolic intussusception, often found incidentally. Increased ultrasound use may explain more diagnoses of this condition in children.

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Area of Science:

  • Pediatric Surgery
  • Diagnostic Imaging
  • Gastroenterology

Background:

  • Intussusception is a common pediatric abdominal emergency, typically ileocolic.
  • Small bowel intussusception is infrequently reported.

Purpose of the Study:

  • To compare clinical features and outcomes of small bowel intussusception (SBI) versus ileocolic intussusception (ICI).
  • To evaluate the role of ultrasound in diagnosing SBI.

Main Methods:

  • Retrospective review of pediatric intussusception cases diagnosed by ultrasound (April 1997-January 2001).
  • Comparison of clinical records and imaging findings between SBI and ICI patients.
  • High-frequency ultrasound with power Doppler was utilized.

Main Results:

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  • 22 SBI and 29 ICI patients identified. SBI patients were older (median 50 vs. 11 months).
  • SBI symptoms included abdominal pain (86%) and vomiting (36%), with 14% found incidentally.
  • Hydrostatic reduction was less common for SBI (14% vs. 93% for ICI), with lower operative rates (1 patient vs. 21%).

Conclusions:

  • Increased ultrasound use likely contributes to higher SBI detection rates.
  • SBI cases were often short-segmented, self-limited, and lacked a lead point.
  • SBI presents with less acute symptoms compared to ICI.