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This study analyzed intestinal intussusception in 197 children, revealing age-specific clinical features and pathological changes. A new reduction method proved effective in most nonoperative cases, becoming the recommended treatment.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Context:
- Intestinal intussusception is a common surgical emergency in children.
- Understanding age-specific presentations and pathological changes is crucial for effective management.
Purpose:
- To analyze clinical diagnostics and treatment outcomes of intestinal intussusception in 197 children.
- To identify age-related clinical peculiarities and pathomorphological changes.
- To determine causes of nonoperative treatment failure and refine management tactics.
Summary:
- The study details the analysis of 197 pediatric cases of intestinal intussusception, focusing on clinical diagnostics and treatment outcomes.
- Pathomorphological changes were correlated with disease duration and intussusception type, revealing age-specific clinical courses.
- A novel nonoperative reduction method was developed and applied to 169 children, achieving successful reduction in 82.2% of cases.
- Indications for operative intervention were refined based on treatment efficacy data.
Impact:
- The findings provide insights into the pathophysiology and clinical presentation of pediatric intestinal intussusception.
- A new, effective nonoperative reduction technique is proposed, potentially reducing the need for surgery.
- The study refines management strategies and offers a recommended method for intestinal intussusception reduction in children.
Abstract:
The work discusses the results of analysis of clinical diagnostics of intestinal intussusception in 197 children and their treatment. Age peculiarities of the clinical course of intussusception were revealed. The characteristic pathomorphological changes of the walls of the invaginated portion of the intestine were studied according to the duration of the disease and the type of intussusception. The causes of the inefficacy of nonoperative correction of the invagination are identified. The tactics of intussusception management and the indications for operative treatment were elaborated on the basis of these data. The author suggests his own method for desinvagination. Operations were conducted on 62 children. Nonoperative treatment by the method developed by the clinic was applied in 169 (85.7%) children, the invaginated portion was reduced in 139 (82.2%) children and the treatment proved ineffective in 30 (17.8%) children. The author recommends the method for reduction developed at the clinic as the method of choice in the management of intestinal intussusception in children.