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Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
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Management of recurrent ileocolic intussusception
Min Jeng Cho1, Chang Woo Nam1, Seong Hoon Choi2
1Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.
Journal of Pediatric Surgery
|November 4, 2019
Summary
Recurrent ileocolic intussusception (RICI) episodes should be treated individually, similar to initial occurrences. Surgery is recommended for failed nonoperative reduction, suspected pathological lead points, or peritonitis signs.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Clinical Research
Background:
- Ileocolic intussusception (ICI) is common in children.
- Recurrences of ICI present unique management challenges.
- Understanding recurrence patterns is crucial for surgical decision-making.
Purpose of the Study:
- To assess the necessity of surgical intervention for recurrent ileocolic intussusception (RICI).
- To investigate the impact of multiple recurrences on surgical needs.
- To determine associations between early/late recurrence patterns and surgical outcomes.
Main Methods:
- Retrospective analysis of 604 ICI episodes in 491 patients (2007-2019).
- Evaluation of demographic data, recurrence rates, and treatment outcomes.
- Definition of early RICI as recurrence within 48 hours.
Main Results:
- Overall ICI recurrence rate was 13.8% (113 episodes in 68 patients).
- No significant differences in age, reduction success, or pathological lead points (PLPs) between recurrent and non-recurrent groups.
- PLP presence did not correlate with age or recurrence number, but lowered reduction success (P < 0.001).
Conclusions:
- Each RICI episode warrants management as a primary event.
- Surgical reduction should be considered for refractory nonoperative reduction.
- Indications for surgery include suspected PLPs or signs of peritonitis.
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