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Adult intussusception

T Azar1, D L Berger

  • 1Department of General Surgery, Massachusetts General Hospital, Boston 02114, USA.

Annals of Surgery
|August 1, 1997
PubMed
Summary
This summary is machine-generated.

Adult intussusception is rare and often presents with bowel obstruction symptoms. Surgical resection is preferred due to high malignancy rates, with CT scans aiding diagnosis.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiology

Background:

  • Adult intussusception is a rare condition, accounting for only 1% of bowel obstructions and 5% of all intussusceptions.
  • It differs significantly from pediatric intussusception, presenting unique diagnostic and management challenges.

Purpose of the Study:

  • To review the diagnosis and treatment of intussusception in adult patients.
  • To analyze the association between intussusception and underlying pathological lesions.

Main Methods:

  • Retrospective review of 58 adult patients with surgically confirmed intussusception (1964-1993).
  • Classification of cases into benign/malignant enteric and colonic lesions.
  • Analysis of diagnostic methods and treatment outcomes.

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Main Results:

  • The mean age of patients was 54.4 years, with most presenting with bowel obstruction symptoms.
  • Pathological lesions were associated with 93% of intussusceptions.
  • Malignancy rates were 48% for enteric and 43% for colonic intussusceptions.

Conclusions:

  • Adult intussusception diagnosis is challenging due to varied symptoms; computed tomography (CT) is the most effective imaging modality.
  • Surgical resection without reduction is the recommended treatment for adult intussusception.
  • The high incidence of malignancy necessitates surgical intervention for both enteric and colonic cases.