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[Intestinal invagination. Analysis of cases].

A Salvatoni¹, L Bevilacqua, L Martignoni

¹Clinica Pediatrica III, Università di Pavia, Italia.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics

|September 1, 1987

Summary

Early diagnosis of intussusception is crucial for effective treatment. Delayed diagnosis in pediatric cases correlates with longer hospital stays, highlighting the need for prompt recognition of key symptoms.

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Area of Science:

Pediatric Gastroenterology
Surgical Emergencies

Background:

Intussusception is a common cause of bowel obstruction in infants and young children.
Timely diagnosis and intervention are critical for favorable outcomes.

Purpose of the Study:

To analyze intussusception cases in a pediatric department over nine years.
To evaluate the effectiveness of barium enema for diagnosis and reduction.
To identify factors influencing treatment outcomes.

Main Methods:

Retrospective review of 16 pediatric intussusception cases.
Analysis of diagnostic methods, including barium enema.
Assessment of reduction success rates and correlation with symptom duration.

Main Results:

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Barium enema performed in 15 cases; reduction attempted in 5, successful in 3 (20%).
Delayed diagnosis was common, with 56% presenting with classic symptoms simultaneously.
Significant positive correlation found between symptom duration and hospitalization length (p < 0.01).

Conclusions:

Precocious diagnosis is paramount for effective intussusception treatment in children.
Delayed diagnosis leads to prolonged hospital stays, emphasizing the need for prompt clinical recognition.