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: 2.29).
10/2011; 202(4):487-91. DOI: 10.1016/j.amjsurg.2011.02.006
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.
Available from: S. Lipka
Available from: John P Burke
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Intestinal intussusception is a common pathology among children, whereas it is a rare entity in adults. The child/adult ratio is abdominal surgeries and in 1/100 patients operated on for intestinal obstruction. Clinical manifestations of adult intussusception are nonspecific and patients may present with acute, intermittent or chronic symptoms, predominantly those of intestinal obstruction.
We report two cases of intussusceptions in adults. The first case, ileo-ileal intussusception, was secondary to hamartoma in terminal ileum. The second case presented as an ileo-colonic intussusception in which no underlying lesion was identified as a causal factor.
Adult intussusception is a rare entity. Most cases have a precipitating factor and due to its association with a malignant pathology, intestinal resection without reduction is the surgical procedure of choice.
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