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Intussusception in adults

I Matter1, Y Assaff, E Nash

  • 1Department of Surgery, Bnai Zion Medical Center, Haifa, Israel.

South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|April 16, 1998
PubMed
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Adult intussusception, a rare cause of intermittent intestinal obstruction, often stems from malignancy. Surgical resection is typically preferred, but manual reduction may be considered to avoid a permanent stoma, leading to a good prognosis with timely intervention.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Imaging

Background:

  • Adult intussusception is an uncommon condition characterized by chronic, recurrent intestinal obstruction.
  • It often presents with limited surgical experience and an identifiable underlying cause, frequently malignancy.

Purpose of the Study:

  • To review the clinical presentation, diagnosis, and management of adult intussusception.
  • To highlight the importance of timely diagnosis and appropriate surgical intervention.

Main Methods:

  • Retrospective case series of 13 adult intussusception patients treated over 19 years.
  • Review of diagnostic modalities including plain abdominal films, barium enema, and computed tomography (CT).

Main Results:

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  • An identifiable cause, often malignancy, was found in most cases.
  • Surgical resection without reduction was the primary treatment.
  • Manual reduction was attempted when resection would necessitate a permanent stoma.

Conclusions:

  • Awareness and advanced imaging (CT) are crucial for diagnosing adult intussusception.
  • Surgical resection is the mainstay of treatment, with judicious attempts at manual reduction when necessary.
  • Prompt and appropriate management ensures a favorable prognosis.