Clinical and Modern Features of Intussusception in Children

Abstract

The aim of the work is to study demographic and clinical features of intussusception in children. Material and methods. A retrospective analysis of all intussusception patients, who received treatment at the “Ivano-Matreninskaya Children’s Clinical Hospital” in Irkutsk over the period from 2006 to 2016. The age, gender of patients, the prescription of the disease, seasonality, diagnostic methods, treatment methods and outcomes (recovery, relapse of intussusception) were taken into account. Results. Over the past 10 years, there were observed 268 intussusception children patients. The number of cases per year varied from 11 to 41 with an annual increase in the last 5 years. At the age of 1 year there were 44 (16.4%) patients, over the year - 224 (83.6%). Boys are more often ill (191 (71.3%)) in comparison with girls (77 (28.7%)). There was no regular correlation between the frequency of the intussusception and the time of year. The peak incidence was observed in the summer (29.5%) with the fall in autumn (22.7%) and approximately the same ratio in winter and spring (23.4% and 24.4%, respectively). 204 (76.1%) patients entered up to 12 hours from the onset of the disease, 35 cases (13.1%) - from 12 to 24 hours, 29 patients (10.8%) entered after 24 hours. A clinical feature of intussusception was an increase in the number of cases of recurrent forms, whose frequency accounted of 14.5%. After conservative treatment, the relapse rate was 17.8%, after surgery - 2.5% (p <0.05). Pathological formations of the intestine were revealed in 3 (7.7%) out of 39 patients with the recurrence of intussusception in comparison with 3 (1.3%) of 229 children without relapses (p <0.05). Treatment of recurrences of intussusception: conservative - 59.0%, laparoscopic disinvagination - 38.5%, laparotomy and disinvagination - 2.5%. Conclusion. There is observed an increase in the number of intussusception children patients, especially cases over the age of one year. Boys are sick 2.5 times more often than girls. The frequency of recurrences of intussusception is 14.5%. Repeated intussusception is associated with pathological intestinal formations and age over one year.

Diagnostics and features of the course of Meckel’s diverticulus of thoracic localization with combined developmental malformations

“…ДМ нередко является находкой при операциях на органах брюшной полости. Типичная локализация брюшная полость в пределах подвздошной кишки на расстоянии 40-70 см от Баугиновой заслонки [1][2][3][4][5][6][7]10,14,19]. В литературе представлены случаи сочетания ДМ с диафрагмальными грыжами (ДГ), гетеротопией ткани поджелудочной железы (ГТПЖ) в самом дивертикуле и в различных отделах желудочно-кишечного тракта [8][9][17][18].…”