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[Postoperative intestinal intussusception in children].

P Velin1, D Dupont, P Parizot

  • 1Service d'Anesthésie-Réanimation Hôpital Lenval pour Enfants, Nice.

Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1992
PubMed
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Postoperative intussusception (POI) is a rare complication following abdominal surgery in children. This report highlights risk factors and suggests epidural analgesia for better outcomes.

Area of Science:

  • Pediatric Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • Postoperative intussusception (POI) is a recognized complication after abdominal surgery.
  • Risk factors for POI in pediatric patients undergoing complex procedures are not fully elucidated.

Observation:

  • Two pediatric cases of postoperative intussusception (POI) after extensive abdominal neuroblastoma surgery are presented.
  • Both patients experienced small bowel obstruction postoperatively, requiring surgical reduction of ileo-ileal invagination.

Findings:

  • Young age, preoperative chemotherapy, prolonged anesthesia, and extensive retroperitoneal dissection were identified as key risk factors.
  • Opioid use for pain management may exacerbate POI by affecting intestinal motility.

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Implications:

  • POI, though uncommon, should be considered in pediatric patients with abdominal surgery history presenting with obstruction.
  • Epidural analgesia with local anesthetics may be a safer alternative to opioids for postoperative pain management in high-risk patients.