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Intussusception in older children

D Turner, A M Rickwood, R J Brereton

    Archives of Disease in Childhood
    |July 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Intussusception in children over two presents differently than in infants, often with subtle symptoms. Hydrostatic reduction may be suitable for older children if X-rays show no small bowel obstruction.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology

    Background:

    • Intussusception is a common surgical emergency in infants.
    • Presentation and management in older children (>2 years) differ significantly from infants.

    Purpose of the Study:

    • To characterize intussusception in children over two years of age.
    • To evaluate diagnostic challenges and treatment outcomes in this age group.

    Main Methods:

    • Retrospective review of 37 cases of intussusception in children over two years of age.
    • Analysis of clinical presentation, diagnostic methods (including plain abdominal X-rays), and surgical findings.

    Main Results:

    • Subacute or chronic presentation was more common than in infancy.
    • Rectal bleeding and palpable intussusception were infrequent.

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  • Diagnosis was challenging, but plain abdominal X-rays were helpful.
  • Surgery was performed in the majority of cases, with a 22% incidence of lead points.

    • Conclusions:

    • Attempted hydrostatic reduction is not contraindicated in children over two years with intussusception.
    • Hydrostatic reduction should be considered only when X-rays exclude small bowel obstruction.