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Postoperative intussusception: increasing frequency or increasing awareness?

G W Holcomb1, A J Ross, J A O'Neill

  • 1Children's Hospital of Philadelphia.

Southern Medical Journal
|November 11, 1991
PubMed
Summary
This summary is machine-generated.

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Postoperative intussusception in children is rare but treatable. Early diagnosis is key, as symptoms can mimic common post-abdominal surgery issues, delaying treatment.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Postoperative intussusception in children is a rare complication.
  • Diagnosis is often delayed due to non-specific symptoms mimicking common post-abdominal surgery issues.

Purpose of the Study:

  • To review the experience with postoperative intussusception in children.
  • To highlight the importance of maintaining a high index of suspicion for this condition.

Main Methods:

  • Retrospective review of 14 children diagnosed with postoperative intussusception over 4 years.
  • Analysis of patient demographics, initial operations, symptoms, diagnostic studies, and treatment outcomes.

Main Results:

  • Symptoms appeared between postoperative days 3 and 36 (mean 10 days).

Related Experiment Videos

  • Initial operations varied, including tumor excision, Nissen fundoplication, and ileal resection.
  • Operative reduction was successful in 13 of 14 children.
  • Conclusions:

    • Postoperative intussusception requires a high index of suspicion in children presenting with abdominal symptoms after surgery.
    • Prompt diagnosis and surgical intervention lead to favorable outcomes.