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Intussusception among Children Admitted in a Department of Pediatric Surgery of a Tertiary Care Centre: A Descriptive

Ramana Rajkarnikar1, Suraj Singh2, Mridul Prasad Joshi2

  • 1Department of Pediatric Surgery, International Friendship Children's Hospital, Kathmandu, Nepal.

JNMA; Journal of the Nepal Medical Association
|May 19, 2023
PubMed

Insights

Intussusception affects nearly 15% of pediatric surgery admissions. Hydrostatic reduction is a successful treatment for this common childhood surgical emergency.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Diagnostics

Background:

  • Intussusception is a frequent cause of acute abdominal pain in young children.
  • The etiology is often idiopathic in this age group.
  • Management options include hydrostatic reduction and exploratory laparotomy.

Purpose of the Study:

  • To determine the prevalence of intussusception in children admitted to a tertiary care pediatric surgery department.
  • To analyze the outcomes of different management strategies.

Main Methods:

  • A descriptive cross-sectional study was conducted.
  • Data were collected from 1785 admitted patients aged 6 months to 5 years between January 2018 and December 2020.
  • Convenience sampling was used, and point estimates with 95% Confidence Intervals were calculated.

Main Results:

  • Intussusception was diagnosed in 267 (14.96%) of admitted patients.
  • Hydrostatic reduction was successful in 92.13% of cases, while 7.86% required laparotomy.
  • The peak incidence occurred in children aged 1-3 years.

Conclusions:

  • Intussusception is a significant surgical emergency in pediatrics.
  • Hydrostatic reduction is a highly effective and minimally invasive treatment for pediatric intussusception.
Abstract

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