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Progression of intussusception.

N T Ong1, S W Beasley

  • 1Department of General Surgery, Royal Children's Hospital, Melbourne, Parkville, Australia.

Journal of Pediatric Surgery
|June 1, 1990
PubMed
Summary
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The apex position in intussusception indicates the length of the intussusceptum. While not a contraindication, apex location impacts successful enema reduction, especially when reaching the rectosigmoid region.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Radiology

Background:

  • Intussusception is a common surgical emergency in children.
  • Understanding the progression of intussusception is crucial for timely intervention.
  • The apex of the intussusceptum is a key anatomical landmark.

Purpose of the Study:

  • To investigate the relationship between the apex position and intussusception characteristics.
  • To determine the predictive value of apex position for enema reduction success.
  • To elucidate the factors limiting intussusception progression.

Main Methods:

  • Retrospective analysis of pediatric intussusception cases.
  • Correlation of apex position with symptom duration and enema reduction outcomes.

Related Experiment Videos

  • Radiographic assessment of intussusceptum length and edema.

    • Main Results:

    • Apex position correlates with intussusceptum length in ileocecal intussusception.
    • Rapid progression of intussusception occurs post-symptom onset.
    • Apex reaching the rectosigmoid region reduces likelihood of successful enema reduction.

    Conclusions:

    • Apex position serves as an indirect measure of intussusceptum length.
    • Intussusception progression is rapid and often complete upon presentation.
    • Enema reduction success is influenced by apex location, with rectosigmoid placement indicating lower success rates.