[INTUSSUSCEPTION OF INTESTINE IN CHILDREN: CLINICO—DIAGNOSTIC PARALLEL, EXPERIENCE OF TREATMENT]

Area of Science:

• Pediatric Gastroenterology
• Medical Diagnostics
• Surgical Interventions

Background:

• Intussusception of the intestine (II) is a significant cause of bowel obstruction in children.
• Accurate and timely diagnosis is crucial for effective management and prevention of complications.
• Current diagnostic and treatment protocols may have limitations in certain pediatric cases.

Purpose of the Study:

• To develop an improved algorithm for the diagnosis and treatment of intussusception of the intestine in children.
• To enhance the differentiation of bowel wall circulation status using clinical and echographic signs.
• To extend the possibilities of conservative treatment for pediatric intussusception.

Main Methods:

• Inspection of 112 pediatric patients diagnosed with intussusception of the intestine.
• Development of a complex, pathogenetically grounded algorithm for inspection and treatment.
• Utilized clinical and echographic signs to differentiate the state of bowel wall circulation.

Main Results:

• Intussusception of the intestine was identified in 70.5% of boys and 29.5% of girls.
• The new algorithm enabled improved diagnostics and individualized treatment approaches.
• Differentiation of bowel wall circulation status significantly extended conservative treatment options, even for cases presenting after 18-24 hours.

Conclusions:

• The developed algorithm offers a more effective approach to diagnosing and treating pediatric intussusception.
• Clinical and echographic assessments are vital for determining appropriate treatment strategies.
• Further study on the diagnosis of acquired intussusception by pediatricians and family doctors is recommended.