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Childhood intussusception in Ile-ife: what has changed?
Ademola Olusegun Talabi1, Oludayo Adedapo Sowande, Chiduziem Amarachukwu Etonyeaku
1Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, PMB 5538, Osun State, Nigeria.
African Journal of Paediatric Surgery : AJPS
|November 7, 2013
Summary
Delayed presentation of childhood intussusception in sub-Saharan Africa leads to high surgical mortality. Early diagnosis and intervention are crucial for improving outcomes in these vulnerable populations.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Public Health
Background:
- Intussusception is a leading cause of intestinal obstruction in children.
- Outcomes for childhood intussusception vary significantly between developed and developing nations.
- Sub-Saharan Africa faces particular challenges in managing this condition.
Purpose of the Study:
- To review the management of childhood intussusception.
- To identify factors influencing surgical outcomes.
- To analyze the experience at Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife.
Main Methods:
- Retrospective study of 78 pediatric patients treated for intussusception.
- Data collected from January 1993 to December 2011.
- Analysis of demographic, clinical, management, and outcome data.
Main Results:
- Peak incidence occurred between 3-9 months, predominantly in males (M:F=2.9:1).
- Most cases (58.9%) presented during the dry season (December-April).
- Significant delay in presentation (>24 hours) was observed in over half of patients, with a 15.4% overall mortality rate.
Conclusions:
- Delayed presentation is a critical issue in childhood intussusception management.
- High post-operative mortality is associated with delayed presentation.
- Improved early diagnosis and timely surgical intervention are essential in sub-Saharan Africa.
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