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Intussusception in Children: A Clinical Review
T Charles1, L Penninga, J C Reurings
1Department of Orthopedic Surgery, University Hospital Erasme, Brussels, Belgium.
Acta Chirurgica Belgica
|November 13, 2015
Summary
Intussusception is a common cause of infant bowel obstruction. Early diagnosis and treatment, often with ultrasound-guided enema reduction, are crucial for favorable outcomes in this potentially life-threatening condition.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Intussusception is the leading cause of small bowel obstruction in infants.
- Prompt diagnosis and management are vital for preventing life-threatening complications.
Purpose of the Study:
- To review the epidemiology, etiology, and clinical presentation of intussusception.
- To discuss diagnostic modalities, focusing on ultrasonography.
- To summarize non-operative and operative treatment strategies and outcomes.
Main Methods:
- Literature review of intussusception epidemiology, etiology, symptoms, diagnosis, and treatment.
- Emphasis on ultrasonography as the primary diagnostic tool.
- Analysis of non-operative (enema reduction) and operative (laparotomy, laparoscopy) approaches.
Main Results:
- Intussusception requires a high index of suspicion for timely diagnosis.
- Ultrasonography is the preferred diagnostic modality.
- Both non-operative and operative treatments have established roles and varying outcomes.
Conclusions:
- Effective management of intussusception relies on thorough knowledge and prompt intervention.
- Ultrasonography significantly aids in diagnosis.
- Treatment strategies should be tailored to individual patient needs for optimal outcomes.
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