Predictors of surgical treatment in children with intussusception

Abstract

Objective. To examine the outcomes of treating children with Susp. Intussusception at Regional Children's Clinical Hospital No. 1 in Vladivostok. Intussusception is the most common type of acute intestinal obstruction in children under 1 year of age.
Materials and methods. A retrospective study included 241 cases with suspected intussusception. Medical records and surgical logs were analyzed. Standard clinical and radiological methods were used. Statistical analysis of the study results was performed using Microsoft Office Excel 2007 and Statitech software packages.
Results. A total of 241 children were hospitalized with suspected intussusception during the specified period. The diagnosis was confirmed in 64 patients, including 22 girls and 42 boys. Ultrasound examination and pneumoperitoneography procedures were performed to confirm the diagnosis. Conservative treatment was effective in 36 cases; all children had ileocecal intussusception and no peritonitis. Of the 28 patients in the second group, there were 11 cases of ileocecal intussusception and 17 cases of small bowel intussusception. Of this group of children, 8 cases were associated with Meckel's diverticulum and two with lymphoma.
Conclusions. In our case, the factors determining the need for surgery were age over 3 years, the long duration of the disease, the presence of complications, as well as the presence of small intestinal localization.