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Updated: Aug 6, 2026
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
[Intestinal intussusception: easy diagnosis in the 21st Century? Outcome of five years experiences]
E Leva1, M Cardarelli, A Di Cesare
1Ospedale dei Bambini V. Buzzi, ICP Milano, Divisione di Chirurgia Pediatrica. ernleva@tin.it
Insights
Intussusception in children remains a surgical challenge. Early imaging is crucial for timely diagnosis and treatment, reducing the need for extensive interventions.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Disorders
Context:
- Intussusception is a well-documented pediatric surgical condition.
- Established guidelines exist for its diagnosis and management.
Purpose:
- To evaluate the clinical presentation, diagnostic delays, and surgical outcomes of intussusception in children.
- To emphasize the importance of early diagnostic imaging.
Summary:
- A study of 25 pediatric patients revealed common symptoms including severe pain and palpable masses.
- Diagnostic delays averaged over 16 hours from symptom onset to initial evaluation.
- Most cases were managed with manual reduction after failed barium enema, with few requiring bowel resection.
Impact:
- Highlights intussusception as an ongoing challenge for emergency teams.
- Underscores the need for liberal use of imaging, even with subtle symptoms, to improve outcomes.
Unlabelled:
Intussusception is an entity well codify in pediatric surgery, with guidelines well defined since years in terms of imaging and procedures.
Material:
From January '99 to Dec. '03, 25 children were admitted to the Department of Pediatric Surgery of the Children's Hospital of Milan. All the aspects related to the pathology have been evaluated in the study.
Results:
25 patients have been studied. 23/25 presented severe pain, 19/25 normal bowel movements in the last 3 hours and in 9/25 a mass were detected at clinical examination.19/25 were submitted to laparotomy after failure of reduction through barium enema, and in 17/19 a manual reduction were performed. Only 2 patients required a bowel resection with primary anastomosis. The analysis of the delay of diagnosis, the delta-T between beginning of the symptoms and first medical evaluation was of 16,23 h. (3-72), and the delta-T between the first evaluation and diagnosis was 18,7 h. The interval between diagnosis and surgery was of 4,3.
Conclusion:
Authors believe that intussusception still represent a challenge for medical and surgical emergency team, supported by the data in literature. Imaging procedures must not be constricted in case of minimal suspicions of intestinal intussusception.
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