[Intussusception followed by intestinal obstruction in adults]

Area of Science:

• Gastroenterology
• Surgical Oncology
• Abdominal Surgery

Background:

• Intussusception leading to intestinal obstruction is a rare but serious condition in adults.
• Accurate preoperative diagnosis and management are crucial for successful surgical outcomes.
• Identifying the underlying cause of intussusception is key to tailoring treatment strategies.

Purpose of the Study:

• To assess the efficacy of preoperative diagnostics and medication for adult intussusception with intestinal obstruction.
• To evaluate surgical repair strategies and analyze outcomes based on the etiology of intussusception.
• To identify factors influencing postoperative complications and mortality.

Main Methods:

• A cohort of 15 adult patients with intussusception and intestinal obstruction was studied.
• Diagnosis involved clinical evaluation, abdominal X-ray, and ultrasound.
• Surgical interventions included small intestine resection, hemicolectomy, and sigmoid colon resection.

Main Results:

• Preoperative diagnostics and medication successfully identified intussusception in 86.7% of patients before surgery.
• Epithelial and stromal tumors were the most common cause (9 patients), followed by melanoma metastasis (2 patients).
• Postoperative complications were more frequent in high-risk patients with delayed hospitalization and comorbidities; one patient died.

Conclusions:

• Complex preoperative assessment and management improve the detection rate of intussusception causing intestinal obstruction in adults.
• Surgical outcomes are significantly influenced by the underlying cause of intussusception, with tumors being a frequent etiology.
• Prompt surgical intervention and management of comorbidities are vital for reducing postoperative complications and mortality in these patients.