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Postoperative intussusceptions in children and infants: a systematic review

Gang Yang1, Xuejun Wang, Wenjun Jiang

  • 1Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, Sichuan, China.

Pediatric Surgery International
|July 16, 2013
PubMed

Insights

Postoperative intussusception (POI) is a rare complication in children. Early signs include vomiting and abdominal distention, requiring prompt recognition and management in pediatric surgical patients.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Complications

Background:

  • Postoperative intussusception (POI) is an uncommon complication in pediatric surgical patients.
  • Its rarity and atypical presentations often delay early recognition.

Purpose of the Study:

  • To evaluate the clinical features of postoperative intussusception (POI) in children and infants.
  • To improve the understanding of POI for earlier diagnosis and management.

Main Methods:

  • A literature review was conducted using the MEDLINE database.
  • Searched for English-language articles published since 1990 using the keyword "postoperative intussusception".
  • Included studies reporting clinical data for POI in children and infants, with reference list reviews for additional cases.

Main Results:

  • Analyzed 127 cases from 26 studies; median age was 19 months (1.5:1 male-to-female ratio).
  • Gastrointestinal surgery was most common (51.2%), with symptoms appearing within 7 days post-op.
  • Bilious vomiting/increased NG output (87.1%) and abdominal distention (74.3%) were prominent symptoms; small bowel intussusception comprised 85.6% of cases.

Conclusions:

  • Postoperative intussusception (POI) should be suspected in pediatric surgical patients presenting with intestinal obstruction signs.
  • Early recognition and prompt management are crucial for favorable outcomes in POI.
Abstract

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