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Determinants Of Bowel Resection In Childhood Intussusception.

Muhammad Umar Nisar1, Samer Sikander2, Nisar Ahmed Khan3

  • 1The Children's Hospital, Pakistan Institute of Medical Sciences, Islamabad, Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC
|May 30, 2020
PubMed
Summary
This summary is machine-generated.

Early diagnosis and prompt treatment are crucial for preventing bowel resection in childhood intussusception. Factors like prolonged symptoms and anemia increase the risk of requiring surgery.

Keywords:
Intestinal necrosis;PakistanIntussusception; Paediatric ageRisk factors; Intestinal viability

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Abdominal Imaging

Background:

  • Intussusception is a common cause of acute abdomen in young children.
  • It is a leading cause of intestinal obstruction in children under two.
  • Prompt management is vital to prevent complications like bowel ischemia and necrosis.

Purpose of the Study:

  • To identify risk factors for bowel resection in pediatric intussusception.
  • To evaluate determinants influencing surgical intervention in affected children.

Main Methods:

  • Prospective, descriptive, cross-sectional study.
  • Included 102 pediatric intussusception cases over 17 months.
  • Data collected on patient demographics, clinical presentation, and surgical outcomes.

Main Results:

  • Ileocolic intussusception was most common (57.8%).
  • 36.3% of patients required bowel resection.
  • Risk factors for resection included symptom duration >24 hours, hemoglobin <10 g/dL, and hematocrit <30%.

Conclusions:

  • Preventing anemia and ensuring early presentation to specialized centers can reduce bowel resection rates.
  • Timely surgical intervention by experienced pediatric surgeons is key to favorable outcomes.