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[The treatment of intestinal intussusception in childhood]
A Tanzillo1, V Parrinello, M L Pinieri
1Divisione Chirurgia d'Urgenza e P.S., Ospedale Vittorio Emanuele II, Catania.
Insights
Intussusception is a common cause of bowel obstruction in children. Manual disinvagination successfully treated most cases, while some required intestinal resection due to severe wall changes.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Surgical Pathology
Context:
- Intussusception frequently causes pediatric bowel obstruction.
- Diagnosis and surgical intervention are crucial for management.
- Understanding pathomorphological changes guides treatment decisions.
Purpose:
- To evaluate the outcomes of surgical interventions for intussusception in children.
- To compare manual disinvagination with intestinal resection for intussusception.
- To analyze the prognostic factors influencing treatment success.
Summary:
- Twenty-six children with intussusception underwent surgery.
- Manual disinvagination was the primary treatment in 21 cases.
- Intestinal resection was performed in 5 cases due to significant pathomorphological changes.
Impact:
- Provides insights into effective management strategies for pediatric intussusception.
- Highlights the importance of assessing intestinal wall integrity for surgical planning.
- Contributes to the understanding of prognosis in surgically treated intussusception cases.
Abstract:
Intussusception is one of the most frequent cause of mechanical bowel obstruction in children. On the basis of clinical features and diagnosis operations were conducted on 26 children. In 21, the treatment was manual disinvagination. In 5, pathomorphological changes of the walls of the invaginated portion suggested the intestinal resection. The results of treatment and prognosis are discussed.