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Recurrent intussusception in children and infants

Amine Ksia1, Sana Mosbahi, Mohamed Ben Brahim

  • 1Department of Paediatric Surgery, Hopital Fattouma Bourguiba, Medical School of Monastir; Monastir 5000, Tunisia.

African Journal of Paediatric Surgery : AJPS
|January 29, 2014
PubMed

Insights

Recurrent intussusception in children is common, with recurrence rates around 5.5%. These cases are often less symptomatic and easily managed non-surgically, reducing the need for exploratory surgery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Recurrent intussusception in infants and children presents management challenges.
  • Controversies exist regarding the optimal approach to recurrent intussusception.

Purpose of the Study:

  • To investigate the clinical diagnostic features of recurrent intussusception.
  • To identify the underlying causes (aetiology) of recurrent intussusception.

Main Methods:

  • Retrospective study conducted between January 1998 and December 2011.
  • Analysis of 28 pediatric cases of recurrent intussusception.
  • Data collected from the pediatric surgery department in Monastir, Tunisia.

Main Results:

  • 5.5% of intussusception cases (28 out of 505 patients) experienced recurrence.
  • Recurrent episodes showed similar clinical signs to initial episodes, but with significantly less bloody stool (P=0.016).
  • Only one patient had an identifiable pathological lead point.

Conclusions:

  • Patients with recurrent intussusception are generally less symptomatic and seek medical attention promptly.
  • Systematic surgical exploration is often unnecessary for recurrent intussusception.
  • Non-surgical reduction (air or hydrostatic enema) is effective, and pathological lead points are infrequent.
Abstract

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