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Published on: December 1, 2012
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
Summary
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.
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