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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.
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.
- 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.
Abstract:
In Europe and North America, most cases of non-infantile intussusception are associated with intestinal neoplasm. At the University College Hospital, Ibadan, Nigeria, the majority of cases of intussusception seen are ileocecocolic and cecocolic types. These are usually not associated with intestinal neoplasm and simple reduction is all that is required.Intussusception occurring in other segments of the intestinal tract is found to be associated with intestinal neoplasm, mesenteric lymphadenopathy, and ascaris worms. The very mobile cecum and ascending colon found in this population may be related to the high incidence of ileocecocolic and cecocolic intussusception.Indications for resection of intussusception include presence of intestinal neoplasm, irreducibility, gangrenous bowel, and chronicity.