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Intussusception at the pediatric ward of Dr. Pirngadi Hospital, Medan

A H Lubis1, A B Sinuhaji, A H Sutanto

  • 1Department of Child Health, Medical School University of North Sumatera/Dr. Pringadi Hospital, Medan.

Paediatrica Indonesiana
|May 1, 1990
PubMed

Insights

Intussusception affected 0.6% of hospitalized children, with bloody diarrhea and vomiting as key symptoms. Over 31% of surgically treated cases resulted in death, highlighting the severity of this pediatric condition.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Epidemiology

Background:

  • Intussusception is a significant cause of bowel obstruction in infants and young children.
  • Early diagnosis and intervention are crucial for improving outcomes.

Purpose of the Study:

  • To determine the incidence and clinical features of intussusception in hospitalized children.
  • To evaluate the effectiveness of treatment modalities and associated mortality rates.

Main Methods:

  • Retrospective analysis of 6484 hospitalized infants and children from January 1987 to December 1988.
  • Inclusion criteria: hospitalized patients with confirmed intussusception.
  • Data collected on demographics, clinical presentation, treatment, and outcomes.

Main Results:

  • 39 cases (0.6%) of intussusception were identified.
  • The most common age group was 4-6 months (53.85%).
  • Key symptoms included bloody diarrhea (87.17%), vomiting (82.05%), and abdominal distention (66.41%).
  • Barium enema succeeded in 1 of 5 patients (20%).
  • Surgical intervention was performed in 22 patients (56.41%), with a 31.82% mortality rate (7 deaths).

Conclusions:

  • Intussusception presents with characteristic symptoms in infants and children.
  • Timely surgical intervention is often necessary but carries a significant mortality risk.
  • Further research into earlier detection and less invasive treatments is warranted.

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