|Statement||by W. McAdam Eccles|
|Contributions||Royal College of Surgeons of England|
|The Physical Object|
|Pagination||p. 140-155 ;|
|Number of Pages||155|
Adult intussusception: A case series and review. Shenoy S(1). Author information: (1)Santosh Shenoy, Department of Surgery, KCVA and University of Missouri Kansas City, Kansas City, MO , United States. AIM: To identify factors differentiating pathologic adult intussusception (AI) from benign causes and the need for an operative by: 9. Jonathan I. Singer MD, in Pediatric Emergency Medicine, Recognition and Approach. Intussusception may occur at any age (Fig. ).Cases have been described in preterm infants, throughout childhood, and into adulthood. 3 Neonates constitute less than 1% of all reported pediatric cases. In large series, most intussusceptions occur prior to age 2. Intussusception is the telescoping of one segment of the gastrointestinal tract into an adjacent one. 1 This condition is uncommon in adults, with two to three cases occurring in a population of 1 per annum 2 and accounts for less than % of all adult hospital admissions. 3, 4 The diagnosis in adults is usually made at laparotomy, as most patients present as an emergency with Cited by: Recurrent intussusception is present in only % of children and is most common after hydrostatic versus surgical reduction. Fifty percent of recurrent intussusception cases occur within 48 hours of a prior episode (but have been reported up to 18 months later). 13 Most postoperative intussusception cases are located in the small bowel.
A clinical case definition for the diagnosis of acute intussusception was developed by analysis of an extensive literature review that defined the clinical presentation of intussusception in In children especially in infancy and early childhood intussusception is a common cause of bowel obstruction. The pattern of clinical presentations in children and outcomes of intussusception management in low resource setup and to tackle the challenging problems in the management of problem were analyzed. From January to December the records of all children below 15 years of . The classic triad of intussusception include crampy (intermittent, also known as colicky) abdominal pain, vomiting, and bloody stools. The classic triad was found in only 21% of cases and two symptoms were found in 70% of cases in one series of patients with intussusception (1). Aetiology Approximately 75% of cases are idiopathic because there is no clear disease trigger or pathological lead point. Viral infections can stimulate lymphatic tissue in the intestinal tract, resulting in hypertrophy of Peyer patches in the lymphoid rich terminal ileum, which may act as a lead point for ileocolic intussusception.
•Self controlled case series and case-control study – active sentinel site surveillance and age/neighborhood matched controls –No increase in IS observed following first dose of RV1 –Increased risk of 1 in 76, vaccinated infants days following second dose of RV1 –Evidence of benefit of vaccination – hospitalizations/deaths. Takeuchi, et al () in a largest survey of childhood intussusception in Asia concluded that there were an estimated 2, cases of infantile intussusception occurring annually in Japan, with an. Intussusception is a condition in which one segment of intestine "telescopes" inside of another, causing an intestinal obstruction (blockage). Although intussusception can occur anywhere in the gastrointestinal tract, it usually occurs at the junction of the small and large intestines. WITH a detailed analysis of cases of intussusception seen at the Johns Hopkins Hospital, a report of 32 patients treated primarily by barium-enema reduction has been presented.1 Since that time.