Profiling adult intussusception patients: comparing colonic versus enteric intussusception

Department of Surgery, Howard University Hospital, Washington, DC 20060, USA.
American journal of surgery (Impact Factor: 2.41). 10/2011; 202(4):487-91. DOI: 10.1016/j.amjsurg.2011.02.006
Source: PubMed

ABSTRACT Adult intussusception is a rare entity representing 1% of all adult bowel obstruction, hospital admissions secondary to intussusception historically has ranged between .003% and .02%. There is limited knowledge regarding enteric and colonic surgical intussusception patients and their associated conditions.
A retrospective study was conducted using data from the National Inpatient Sample from 1998 to 2006. The inclusion criteria were surgical patients with intussusception.
A total of 1,178 cases of intussusception requiring surgery were isolated from the database. The mean patient age was 49.57 years, about 58% were females, 99.43% of this population was insured, and the overall mortality rate was 1.70%. Colonic resection was associated with greater mortality compared with the enteric resection group (P = .018).
This was a large study on surgical adult intussusception patients conducted in the United States. We show differences in demography, comorbidities, and potential causes between colonic and enteric intussusception.