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[Intestinal invagination in childhood: our experience]
F Marinaccio1, M Nobili, F Niglio
1Divisione di Chirurgia Pediatrica, ASL FG/3.
Insights
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.
Abstract:
The Authors report their experience in the treatment of twenty-one patients with intussusception operated in the Paediatric Surgery Division ASL FG/3 between January 1988 and December 1994. Eighty-nine percent of the patients were between 2 and 12 months of age, with a peak between 2 and 6 months (60%). Ultrasound allowed to identify the pathological picture in forty-two percent of the cases and diagnosis was confirmed by barium enema. In 8 patients a pathology more or less responsible of the intussusception or associated with it was detected. The time between the onset of symptoms and admission as well as the relation between intestinal resection and duration of symptomatology were analyzed. The resection rate was maximal (55%) in those patients presenting symptoms beyond 25 hours. Intestinal resection was performed in 9 patients (47%): 6 ileo-colic; 1 ileo-colic resection extended to the splenic flexure; and 2 ileo-ileal ones. In this series no postoperative complications or recurrences or deaths were registered. Long term results proved that ileo-colic resection, even in few-months old infants, is well tolerated.