Evaluation of 16 Years Experience of Management of Intussusception and Role of Cooperation with Radiologists to Improve the Outcome

المؤلفون

  • Faisal A. Abufalgha Department of Surgery, Misurata Central Hospital, Misurata, Libya

DOI:

https://doi.org/10.51984/ag7yqz71

الكلمات المفتاحية:

Intussusception، Barium enema reduction، Bowel gangrene، Paediatric surgery، Misurata

الملخص

Aim: To review the presentation, management, and outcome of children and adults with intussusceptions admitted to the general surgical department in Misurata Central Hospital, and comparing the results with various series in literature.

Method: The medical records of 78 cases of intussusception were studied retrospectively over 16 year period from Jan 1990 to Dec 2005.

Results: From 78 reviewed patients there were 57 (73%) males and 21 (27) females most of them were below two years old .The most common clinical features are vomiting (97%), bleeding per rectum (50%), abdominal mass was felt in (59%) . Barium enema was done for 15 patients only, successful reduction achieved in 6 patients, 72 patients were operated, and bowel gangrene was found in 10 patients (13%). The mortality rate was 1.2%.

Conclusion: Early presentation and management reduce the risk of bowel gangrene and resection and allows the trial of non-operative reduction in the presence of good cooperation with radiologists in order to improve the outcome and decrease the complications.

التنزيلات

تنزيل البيانات ليس متاحًا بعد.

المراجع

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Hirschprung H.: ET Tilfaelde AF subakut Tarminvagination Hospital – Tidende 3:321, 1876.

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Raudkivi PJ, Smith LH. Intussusception: analysis of 98 cases. Br J Surg 1981; 68(9): 645-8.

Mangete ED, Allison AB. Intussusception in infancy and childhood: analysis of 69 cases. East Afr Med J. 1993; 70(11): 734-6.

Mahayosnond A, Sethsakul E, Trinavarat P et al. Treatment of paediatric intussuseption by pneumatic reduction under ultrasound guidance: first case of King Chulalongkorn Memorial Hospital. Chula Med J 2004; 48(5): 299-307.

Hay SA. Kabesh AA., Soliman HA., Abdelrahman AH. Idiopathic intussusception: the role of laparoscopy. J Pediatr Surg 1999; 34: 577-578.

التنزيلات

منشور

2010-06-01

إصدار

القسم

الأرشيف (النسخة الورقية)

كيفية الاقتباس

1.
Evaluation of 16 Years Experience of Management of Intussusception and Role of Cooperation with Radiologists to Improve the Outcome. J Med Sci (Sebha) [انترنت]. 1 يونيو، 2010 [وثق 31 أكتوبر، 2026];9(2):61-4. موجود في: http://sebhau.edu.ly/journal/joms/article/view/5092

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