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Published on: March 23, 2021
[Features of intestinal invagination in children older than one year of age]
Insights
Conservative treatment is highly effective for intestinal invagination in children over one year old, with a 95.8% success rate. This approach is recommended regardless of patient age for treating this condition.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Intestinal invagination is a common surgical emergency in children.
- The incidence and characteristics of intestinal invagination may vary with age.
Observation:
- Analysis of 368 children treated for intestinal invagination between 1976 and 2001.
- A significant increase, up to 50%, in patients over one year old diagnosed with intestinal invagination was observed.
- Invagination in older children presented with milder symptoms, leading to diagnostic delays in 85.8% of cases before hospitalization and 3.5% in surgical units.
Findings:
- Conservative treatment demonstrated high efficacy (95.8%) in children over one year old.
- Conservative treatment also showed a 100% efficacy in managing recurrent cases.
- Conservative desinvagination is identified as the primary treatment method irrespective of patient age.
Implications:
- Conservative management should be considered the first-line treatment for intestinal invagination in all pediatric age groups.
- Increased awareness is needed for diagnosing intestinal invagination in children over one year old due to its milder presentation.
- Timely diagnosis and conservative treatment can improve outcomes and reduce surgical interventions for pediatric intestinal invagination.
Abstract:
Results of treatment of 368 children with intestinal invagination are analyzed for 1976-2001. Features of intestinal invagination are determined. One of the main features is increase to 50% in the number of patients with this disease older than one year. Invagination in these patients progresses more mildly and has a more benigh course leading to diagnostic mistakes before hospitalization in 85.8% cases and ones in surgical units--in 3.5%. Efficacy of conservative treatment of invagination in children older than one year (95.8%) and of recurrence of the disease (100%) is demonstrated. Conservative desinvagination is the method of choice in the treatment of intestinal invagination regardless of age.
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