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[Intussusception in infants]

B Weisz1, S Reif, Z Spirer

  • 1Dana Children's Hospital, Tel Aviv Medical Center, Sackler School of Medicine, Tel Aviv University.

Harefuah
|June 15, 1994
PubMed
Summary
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Intussusception, a common cause of intestinal obstruction in children, can present with apathy, not just irritability. Early diagnosis and treatment within 24 hours improve outcomes, especially in younger children.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Emergencies
  • Abdominal Pain in Children

Context:

  • Intussusception is the leading cause of bowel obstruction in children post-neonatal period.
  • While often idiopathic, 2-12% of cases stem from underlying abnormalities.
  • Typical symptoms include sudden screaming, pallor, vomiting, and irritability.

Purpose:

  • To analyze how age and time to admission influence intussusception presentation and outcomes.
  • To investigate the correlation between presenting symptoms (irritability vs. apathy) and patient demographics.
  • To determine the efficacy of hydrostatic pressure reduction based on age and promptness of care.

Summary:

  • This study evaluated intussusception cases, noting incidence peaks in spring and autumn.

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  • A significant finding was that 42% of children presented with apathy, highlighting its importance as a symptom.
  • Outcomes were significantly better for younger children and those admitted within 24 hours, with higher rates of successful hydrostatic reduction.

    • Impact:

    • Highlights the critical need for increased clinician awareness of apathy as a key presenting symptom in pediatric intussusception.
    • Emphasizes that early diagnosis and intervention, particularly within 24 hours of symptom onset, can double the success rate of non-surgical reduction.
    • Suggests that prompt management and recognition of atypical symptoms can significantly improve the prognosis for children with intussusception.