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Profiling adult intussusception patients: comparing colonic versus enteric intussusception
Richard Alexander1, Purnell Traverso, Oluwaseyi B Bolorunduro
1Department of Surgery, Howard University Hospital, Washington, DC 20060, USA. ralex76@yahoo.com
American Journal of Surgery
|September 28, 2011
Summary
Adult intussusception is rare but requires surgery. Colonic resection in surgical intussusception patients had higher mortality than enteric resection, indicating different patient outcomes.
Area of Science:
- Gastroenterology
- Surgical outcomes
- Epidemiology
Background:
- Adult intussusception is a rare cause of bowel obstruction, accounting for 1% of cases.
- Limited data exists on the characteristics and associated conditions of patients with enteric and colonic intussusception requiring surgery.
Purpose of the Study:
- To analyze the demographics, comorbidities, and outcomes of adult patients undergoing surgery for intussusception.
- To compare characteristics and outcomes between colonic and enteric intussusception.
Main Methods:
- Retrospective analysis of the National Inpatient Sample database (1998-2006).
- Inclusion criteria: surgical patients diagnosed with intussusception.
Main Results:
- 1,178 surgical intussusception cases identified.
- Mean age 49.57 years, 58% female, 99.43% insured.
- Overall mortality rate was 1.70%; colonic resection associated with greater mortality (P = .018).
Conclusions:
- This large US-based study highlights differences in demographics, comorbidities, and causes between colonic and enteric intussusception.
- Colonic intussusception surgery is linked to higher mortality, suggesting distinct clinical management needs.
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