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Childhood intussusception: the implications of delayed presentation
1Sub Department of Pediatric Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria. soekenze@yahoo.com
African Journal of Paediatric Surgery : AJPS
|April 12, 2011
Summary
Delayed presentation of intussusception in Nigerian children significantly increases risks of bowel complications and intestinal resection. Improving healthcare access and timely treatment are crucial for better outcomes in pediatric intussusception cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Global Health
Background:
- Intussusception is a common surgical emergency in children.
- Late presentation for treatment is prevalent in developing countries, impacting outcomes.
- This study investigates delayed intussusception presentation in southeast Nigeria.
Purpose of the Study:
- To determine the effect of delayed presentation on clinical parameters.
- To analyze the impact on management and outcomes of childhood intussusception.
- To evaluate the association between presentation time and complications.
Main Methods:
- Comparative analysis of 87 pediatric intussusception cases.
- Data collected from January 1998 to December 2007.
- Patients categorized into early (<24 hours) and late (>24 hours) presentation groups.
Main Results:
- Mean presentation time was 3.0 days; 85.1% presented after 24 hours.
- Late presenters showed higher rates of bilious vomiting, rectal bleeding, and abdominal distension.
- Delayed presentation correlated with increased bowel complications, failed reduction, and resection, and was linked to mortality.
Conclusions:
- A significant proportion of children with intussusception present late for treatment in this region.
- Late presentation leads to higher risks of bowel complications and intestinal resection.
- Enhanced perioperative care and improved healthcare access are vital to improve outcomes.
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