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Pediatric intussusception in a Saudi Arabian tertiary hospital
1College of Medicine & Medical Sciences, Taif University-Taif and Department of Pediatric Surgery, Aseer Central Hospital, Abha, Saudi Arabia. taam_tm@yahoo.com
Insights
Pediatric intussusception management varies, with diagnosis and treatment tailored to individual cases. This study reviewed 34 pediatric cases, highlighting common symptoms and successful interventions at Aseer Central Hospital.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Diagnostics
Background:
- Intussusception is a common surgical emergency in children.
- Diagnosis and treatment methods for pediatric intussusception are diverse.
- Optimal management strategies require consideration of case-specific factors.
Purpose of the Study:
- To review the clinical presentation, diagnosis, and management of pediatric intussusception.
- To analyze treatment outcomes for intussusception in a Saudi Arabian tertiary care center.
- To identify factors influencing the choice of diagnostic and therapeutic interventions.
Main Methods:
- Retrospective review of 34 pediatric intussusception cases admitted between 1993 and 2000.
- Analysis of patient demographics, intussusception type and site, etiology, diagnostic methods, and treatment received.
- Exclusion of adult cases and incomplete pediatric records.
Main Results:
- The study included 21 boys and 13 girls, aged 2 months to 8 years.
- Common symptoms included vomiting (100%), bloody stools (91%), and abdominal pain (82%).
- Barium enema was used in 82.3% of cases with 8 successful reductions; 26 patients underwent laparotomy, with 6 requiring resection. No mortality was reported.
Conclusions:
- Pediatric intussusception management is individualized based on clinical presentation.
- Treatment decisions are influenced by available hospital resources and surgical expertise.
- Successful outcomes are achievable with appropriate diagnostic and therapeutic approaches.
Unlabelled:
There are various methods of diagnosing and treating pediatric intussusception. This is an indication that no single method is acceptable to all and no single method is ideal for all cases. Because of this, we reviewed the cases and management of intussusception, seen at Aseer Central Hospital over a 7-year period.
Materials And Methods:
Thirty four pediatric patients admitted at Aseer Central Hospital over a 7-year period (from 1993 to 2000) at Aseer Central Hospital, Southwestern region of Saudi Arabia were reviewed. These are by no means all the cases of intussusception seen during this period. Adult cases and incomplete records of pediatric cases were not included in this series. The 34 cases that met the objectives of this paper were analyzed with regards to the age group distribution, sex, nationality, type and site of intussusception, the cause of intussusception, the method of diagnosis and the treatment given, were also reviewed. Their case files were reviewed and used for the analysis.
Results:
The age range was 2 months to 8 years (Mean = 10.86 months). There were 21 boys and 13 girls, a male: female ratio of 1.6:1.0. All (100%) presented with vomiting, 91% with bloody stools and 82% with colicky abdominal pain. Twenty-eight patients (82.3%) had diagnostic barium enema, and 8 of these were successfully reduced. Exploratory laparotomy was performed for 26 patients and 6 of this required surgical resection. There was no mortality in this series, but one patient had a wound dehiscence which was treated conservatively.
Conclusion:
The management of pediatric intussusception depends on the presentation, the available facilities and the expertise of the treating surgeons.
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