Clinical Analysis, Management and Outcome of Intussusception in Children.
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Date
2012-01
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Abstract
Introduction: Intussusception is the commonest cause of bowel obstruction in infancy and childhood.
Early diagnosis and management is essential to reduce morbidity and mortality. The objective was to To
review the diagnostic criteria of intussusception in infants and children to increase awareness of attending
personnel for effective management decrease the rate of operative treatment and complications. Materials
and Methods: The data collected of all 38 patients admitted in Kanti Childrens Hospital between 2008
September to 2009 September were studied prospectively. Each patient was evaluated in regard to age at
presentation, sex, signs and symptoms, diagnostic method, treatment (operative, non-operative). Results:
During study period of one year there were a total of 20 (52%) males and 18 (48%) females of age 3 months
to 6 years. Pain abdomen was seen in 25(66%), vomiting 16(42%), diarrhea 15(40%), blood mixed with
stool 10(26%). These symptoms were seen in different combination. X-ray erect abdomen was done in
15 and ultrasound in all 38 cases. Ten out of 15 (66.6%) patients with early presentation and diagnosis
had successful barium enema reduction.10 (66.6%) had successful reduction and admitted to our
hospital. 28(74%) patients were undergone laparatomy. Among 28 (74%) patents that had lapartotomy,
manual reduction was successful in 18 and 10 required bowel resection and anastomosis. Conclusion:
The awareness of early features of intussusception is important for early referral to tertiary centers for
successful non-operative barium reduction and reduce the need of laparotomies in children.
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Keywords
Barium enema reduction, Children, Intussusception, Laparatomy
Citation
Thapa B, Chaudhary R P, Pun M S, Rai G K. Clinical Analysis, Management and Outcome of Intussusception in Children. Journal of Nepal Paediatric Society. 2012 Jan-Apr; 32(1): 9-13.