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Clinico-pathological features of intussusception in children beyond five years old

Wen-Pin Lai1, Yao-Jong Yang, Chao-Neng Cheng

  • 1Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan.

Acta Paediatrica Taiwanica = Taiwan Er Ke Yi Xue Hui Za Zhi
|February 8, 2008
PubMed

Insights

Intussusception in children over five years old often presents with prolonged symptoms and a higher risk of recurrence and lead points. Prompt diagnosis and treatment are crucial for favorable outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Pediatrics

Background:

  • Intussusception in older children differs in pathoetiology and outcomes compared to younger children.
  • This study focuses on intussusception characteristics in children exceeding five years of age.

Purpose of the Study:

  • To investigate the clinical features, diagnostic methods, and treatment outcomes of intussusception in children over five years old.
  • To highlight the unique aspects of intussusception in this age group.

Main Methods:

  • Retrospective review of patients diagnosed with intussusception between 1988 and 2005.
  • Analysis of clinical presentations, diagnostic and treatment modalities, and patient outcomes.

Main Results:

  • Twelve cases of intussusception in children aged 5-11.1 years were analyzed.
  • Abdominal pain and nausea/vomiting were common symptoms; 33.3% had symptoms >1 week.
  • Recurrence occurred in 33%, and lead points (lymphoma, Meckel's, polyp) were identified in 4 cases.

Conclusions:

  • Intussusception in older children frequently involves persistent symptoms, lead points, and recurrence.
  • Increased awareness of etiology and treatment options for pediatric intussusception is necessary for healthcare providers.
Abstract

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