Intussusception: Jordan University Hospital experience

The aim of this study was to retrospectively review all children who presented with intussusception over a 24-year period. The medical records of children who presented with intussusception from July 1979 through July 2003 at Jordan University Hospital were reviewed. One hundred and nine children (7...

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Bibliographic Details
Published inHepato-gastroenterology Vol. 55; no. 85; p. 1356
Main Authors Saleem, Moh'd M, Al-Momani, Hashem, Abu Khalaf, Mabu
Format Journal Article
LanguageEnglish
Published Greece 01.07.2008
Subjects
Adolescent
Age Distribution
Child
Child, Preschool
Cohort Studies
Female
Hospitals, University
Humans
Infant
Intussusception - diagnosis
Intussusception - epidemiology
Intussusception - surgery
Jordan
Male
Retrospective Studies
Risk Factors
Survival Rate
Jordan
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Summary:The aim of this study was to retrospectively review all children who presented with intussusception over a 24-year period. The medical records of children who presented with intussusception from July 1979 through July 2003 at Jordan University Hospital were reviewed. One hundred and nine children (74 male, 35 female) presented with intussusception. Their mean age was 16.3 months (range 2 months-14 years). The presenting symptoms were: vomiting (92%), abdominal colic/pain (80%) rectal bleeding (78%), and abdominal mass (65%). Ninety-six cases were ileocolic intussusception (idiopathic type). Eleven patients had small bowel intussusception. Laparotomy was required in 86 cases, manual reduction being successful in 59 (56%); 20 (18%) had bowel resection; 2 had resection of Meckel's diverticulum; and 5 patients underwent Ladd procedure for associated malrotation. Idiopathic intussusception commonly presenting as an ileocolic type constituted the majority of the cases in the present study, occurring in 96 patients (89.7%). The clinical features were classical, vomiting being the most common. The average interval between the onset of symptoms and presentation to the hospital was 46 hours and barium enema reduction was successful in 20 out of 48 cases in which it was attempted. Surgical intervention was required in 86 cases (81%); of which manual reduction was successful in 59 cases, resection was required in 22 cases and 5 patients required an additional Ladd procedure for associated malrotation.
ISSN:0172-6390