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Published on: April 26, 2019
[Precocious diagnosis in children's intussusception--a necessity]
Insights
Intussusception, a common cause of intestinal obstruction in children, often presents with varied symptoms, delaying diagnosis. Early detection and treatment are crucial to prevent complications like intestinal resection and reduce associated morbidity and mortality.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Diseases
- Medical Imaging
Context:
- Intussusception is the leading cause of intestinal obstruction in pediatric patients.
- Varied clinical presentations can complicate and delay the diagnosis of intussusception.
- Current diagnostic methods rely on clinical history and imaging, lacking specific laboratory markers.
Purpose:
- To review medical records of 30 pediatric patients treated for intussusception.
- To emphasize the critical role of prompt diagnosis and intervention in intussusception management.
- To explore the relationship between disease onset, clinical presentation, treatment, and outcomes.
Summary:
- A retrospective review of 30 pediatric intussusception cases was conducted.
- Findings highlight the connection between the timing of diagnosis, chosen treatment (conservative vs. surgical), and patient outcomes, including hospital stay and complications.
- Early diagnosis and treatment are vital to minimize the need for intestinal resection and associated risks.
Impact:
- Underscores the importance of timely diagnosis and treatment for pediatric intussusception.
- Informs clinical practice regarding the management of intestinal obstruction in children.
- Aims to reduce morbidity and mortality associated with delayed intussusception treatment.
Abstract:
Intussusception is the most common cause of intestinal obstruction in children. Despite the fact that this is a frequent and well known disease, sometimes clinical presentation is various and difficult to interpret, which leads to delay in diagnosis and treatment. Late treatment will sometimes require intestinal resection, with high morbidity and mortality. There are no laboratory tests useful in diagnosis of intussusception. The only diagnosis tools are history, ultrasound and radiology. We retrospectively reviewed medical files of 30 patients, admitted and treated for intussusception in Children Hospital Cluj-Napoca and underline the importance of early diagnosis and treatment. There is a connection between onset of the disease, presentation, treatment (conservative or surgical), complications and hospital stay.
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