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Non-infantile intussusception.

O G Ajao

    Journal of the National Medical Association
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    In Nigeria, ileocecocolic intussusception is common and typically does not involve tumors, allowing for simple reduction. Other intestinal intussusceptions may indicate underlying issues like neoplasms or parasites.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Intussusception is a significant cause of bowel obstruction.
    • In Europe and North America, adult intussusception is often linked to intestinal neoplasms.
    • The presentation and etiology of intussusception can vary geographically.

    Purpose of the Study:

    • To describe the characteristics and management of intussusception cases at the University College Hospital, Ibadan, Nigeria.
    • To compare the findings with those reported in Western literature.
    • To identify factors influencing the surgical approach to intussusception.

    Main Methods:

    • Retrospective review of intussusception cases treated at the University College Hospital, Ibadan.
    • Analysis of patient demographics, clinical presentation, radiological findings, operative procedures, and outcomes.

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  • Histopathological examination of resected specimens.

    • Main Results:

    • The majority of intussusception cases were ileocecocolic and cecocolic types.
    • Unlike in Western populations, these types were rarely associated with intestinal neoplasm.
    • Simple reduction was sufficient in most cases.
    • Intussusception in other segments was associated with neoplasm, lymphadenopathy, and ascaris.
    • Mobile cecum and ascending colon may contribute to the high incidence of ileocecocolic/cecoclic intussusception.

    Conclusions:

    • Ileocecocolic and cecocolic intussusception in Ibadan are generally benign and amenable to simple reduction.
    • Indications for resection include neoplasm, irreducibility, gangrene, or chronicity.
    • Geographic variations in intussusception etiology necessitate tailored diagnostic and management strategies.