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Intussusception in Children Aged Less than Five years

Sanjay Mehendale1, C P Girish Kumar2, S Venkatasubramanian2

  • 1National Institute of Epidemiology, Indian Council of Medical Research, II Main Road, TNHB, Ayapakkam, Chennai, 600077, India. sanjaymehendale@icmr.org.in.

Indian Journal of Pediatrics
|May 24, 2016
PubMed

Insights

This study identified 205 pediatric intussusception cases in Chennai, India, with most managed non-surgically. Data collection is crucial for assessing rotavirus vaccine impact on intussusception rates.

Area of Science:

  • Pediatric Gastroenterology
  • Epidemiology
  • Public Health

Background:

  • Intussusception is a significant cause of intestinal obstruction in infants and children.
  • The introduction of rotavirus vaccine in India necessitates understanding baseline intussusception rates.
  • Chennai serves as a key urban center for pediatric healthcare in South India.

Purpose of the Study:

  • To determine the incidence of pediatric intussusception in Chennai.
  • To describe the clinical characteristics and management outcomes.
  • To emphasize the need for systematic data collection regarding rotavirus vaccination status.

Main Methods:

  • Retrospective review of medical records from eight major Chennai hospitals (July 2012-June 2013).
  • Inclusion of demographic and clinical data, including diagnostic and treatment modalities.
  • Classification of cases based on Brighton collaboration criteria for diagnostic certainty.

Main Results:

  • 205 cases of intussusception were diagnosed over a one-year period.
  • Median age was 9 months, with a male predominance (1.8:1 ratio).
  • Ileocolic intussusception was most common (80.4%); 59.8% were managed non-surgically, with 26.5% requiring initial surgery.

Conclusions:

  • The study establishes the annual burden of intussusception in Chennai's pediatric population.
  • Rotavirus vaccine data was not collected, highlighting a critical data gap.
  • Recommendations include collecting rotavirus vaccine data and conducting further retrospective and prospective studies to evaluate vaccine impact.
Abstract

Keywords:
ChennaiIndiaIntussusceptionRetrospectiveRotavirus vaccineSurveillance

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