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[Intestinal invagination in childhood: our experience]
F Marinaccio1, M Nobili, F Niglio
1Divisione di Chirurgia Pediatrica, ASL FG/3.
Il Giornale Di Chirurgia
|April 1, 1997
Summary
Pediatric intussusception surgery is effective, with most cases occurring in infants. Early diagnosis and treatment reduce the need for intestinal resection, and ileo-colic resection is well-tolerated in young children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Intussusception is a common surgical emergency in infants.
- Early diagnosis and intervention are crucial for favorable outcomes.
Purpose of the Study:
- To report surgical outcomes for pediatric intussusception.
- To analyze factors influencing the need for intestinal resection.
Main Methods:
- Retrospective review of 21 pediatric intussusception cases.
- Analysis of diagnostic methods (ultrasound, barium enema).
- Evaluation of surgical procedures and outcomes.
Main Results:
- Most patients (89%) were infants aged 2-12 months.
- Ultrasound identified intussusception in 42% of cases.
- Intestinal resection rate was 47%, highest (55%) with delayed presentation (>25 hours).
- No postoperative complications, recurrences, or deaths were observed.
Conclusions:
- Intussusception surgery in children can be performed with excellent outcomes.
- Prompt diagnosis and treatment minimize complications and resection rates.
- Ileo-colic resection is a safe and well-tolerated procedure in infants.