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[Acute intestinal invagination in infants and children. Analysis of 125 cases treated surgically]
Insights
Barium enema aids acute intussusception diagnosis and reduction in children. Surgical control with appendicectomy is standard, revealing organic causes in 18% of cases, necessitating systematic laparotomy.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
Background:
- Acute intussusception is a common surgical emergency in children.
- Early diagnosis and intervention are crucial for favorable outcomes.
Purpose of the Study:
- To evaluate the efficacy of barium enema in diagnosing and reducing acute intussusception in pediatric patients.
- To assess the necessity of surgical intervention and identify underlying organic etiologies.
Main Methods:
- A cohort of 125 children with acute intussusception were treated.
- Barium enema was used for diagnosis and partial reduction.
- Surgical control with routine appendicectomy was performed even after radiological reduction.
- Laparotomy was conducted to investigate organic causes.
Main Results:
- Barium enema successfully diagnosed and partially reduced intussusception.
- A recurrence rate of 3.2% was observed 1-2 years post-surgery.
- Organic etiology was identified in 18% (23 patients) during surgery.
- Only one case of organic etiology was pre-operatively identified by barium enema, highlighting the need for systematic laparotomy.
Conclusions:
- Barium enema is a valuable tool for acute intussusception management in children.
- Routine surgical exploration is essential to rule out organic causes, even with successful radiological reduction.
- Systematic laparotomy is crucial for identifying organic etiologies not evident on barium enema.
Abstract:
125 children were treated for acute intussusception with :-- Barium enema to establish the diagnosis and to do partial reduction--Even when total reduction is radiologically obtained a surgical control is done with routine appendicectomy.--The rate of recurrence is 3,2% occurring from 1 to 2 years after surgery. In 18% of our cases (23 patients) an organic etiology was discovered at surgery but in one patient only this was documented ona barium enema which demonstrated the necessity of systematic laparotomy.