Diagnosis and treatment of adult intussusception

Reijnen, Han A.M.; Joosten, Harrie J.M.; Boer, H.H.M. de

doi:10.1016/0002-9610(89)90309-7

Cited by 186 publications

(167 citation statements)

References 11 publications

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“…Reduction has been criticized as to be the cause of spread of tumor cells from the tumoral mass, leading to invagination of the infective material into the peritoneum or dissemination via the venous route. Essentially, reduction is not recommended in cases where the intussusceptied segment is due to a tumorous lesion [1,12]. Since colonic intussusceptions are mostly related to malignant tumorous lesions, reduction is not recommended in such cases.…”

Section: Discussionmentioning

confidence: 99%

Adult Intussusception: Clinical Experience from a Single Center

et al. 2013

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Though frequently observed in children, intussusception is a rare state in adults. The treatment of intussusception in adults is different. In this trial, we have presented intussusception cases in adults that were treated and followed up in our department. The records of 31 adult intussusception cases surgically treated in our department between January 1993 and July 2012 were evaluated retrospectively. Among the 31 adult cases of intussusception that were treated during a period of 19 years, 10 were men, and 21 were women. The mean age was determined as 39.7±5.3. The presentation symptom was abdominal pain in all the patients. Failure to pass gas or feces was observed in 23 patients (74.2 %); nausea and vomiting, in 22 patients (70.9 %); hematochezia, in 16 patients (51.6 %); and weight loss, in 3 patients (9.6 %). The mean duration of symptoms was 4.8 days. Abdominal tenderness was found in all the patients. Muscular defense and rebound tenderness were determined in 13 patients (41.9 %). Findings of intussusception were found in 80.9 % of patients examined by abdominal ultrasonography and in 63.1 % of cases examined by computerized tomography. Resection of the intussuscepted bowel segment was performed in 87 % of the patients. In conclusion, intussusception in adults is a rare clinical entity. Intussusception should be considered in the differential diagnosis in patients presenting with spasmodic abdominal pain, especially in cases with intestinal obstruction. The recommended surgical method is en bloc resection of the intussuscepted segment in cases suspected to carry a risk of malignancy.

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Section: Discussionmentioning

confidence: 99%

Adult Intussusception: Clinical Experience from a Single Center

et al. 2013

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“…There has been controversy associated with the option of preliminary reduction of intussusception before resection verses primary resection without reduction. The theoretic objections to reduction of grossly viable bowel with mucosal necrosis are: 1, intraluminal seeding and venous embolization of malignant cells in the region of ulcerated mucosa [21] . 2, possible perforation during manipulation [5,9] .…”

Section: Discussionmentioning

confidence: 99%

“…For colonic intussusception, most recent reports recommend a selective approach to resection, keeping in mind that the site of intussusceptions tends to correlate with the lesion being benign or malignant [9,4] . On the other hand, some authors have recommended a selective approach to resection, taking into consideration the site of intussusception, which influences the type of pathology [4,21] . They advocate resection of all colonic lesions but a more selective approach for small bowel pathology, as the lower malignancy rate for small bowel intussusception makes the argument for initial resection less convincing [19] .…”

Section: Discussionmentioning

confidence: 99%

Adult Intussusception: Diagnosis and Management Strategies. 10 Years Experience from North India

Iqbal¹

2017

JMSCR

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“…The causative lead point can be a benign polyp, lipoma, appendix, Meckel's diverticulum, or malignant tumors such as lymphoma, gastrointestinal stromal tumor, or primary or metastatic adenocarcinoma [4,5,9]. Most studies reported that 60-80% of enteric intussusception were benign and 50-65% of colonic intussusception were malignancy [2,3,6,9,12,15,16].…”

Section: Discussionmentioning

confidence: 99%

“…It differs from the childhood condition in its presentations, cause, and treatment [3]. Demonstrable etiology is found in 70-90% of cases of adult intussusception, and approximately 40% of them are caused by primary or secondary malignant neoplasm [4,5].…”

Section: Introductionmentioning

confidence: 99%

A Clinical Overview of a Retrospective Study About Adult Intussusceptions: Focusing on Discrepancies Among Previous Studies

et al. 2008

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This study was to determine clinical entity of adult intussusception, focusing on discrepancies among previous studies and to retrospectively investigate the factors associated with malignancy and survival for 10 years. In our study, 3.7% (N = 42) of intussusception were adults. The most common symptom was acute abdominal pain (64.3%). Enteric, ileocolic, ileocecal, and colocolic intussusception included 52.4, 9.5, 14.3, and 23.8% of patients, respectively. Two patients (9.1%) with enteric (N = 22), no patient with ileocolic (N = 4), three patients (50%) with ileocecal (N = 6), and five patients (50%) with colocolic (N = 10) intussusception were malignant. The factor associated with malignancy was only chronic abdominal pain without acute abdominal pain (P = 0.018) and the absence of fever and ileocecal intussusception were associated with survival (P = 0.010, 0.009). In our study, the most common symptom was acute abdominal pain, and enteric intussusception was the most common type. The difference in clinical presentation and location of intussusception might have resulted from small number of cases or selection of cases.

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Diagnosis and treatment of adult intussusception

Cited by 186 publications

References 11 publications

Adult Intussusception: Clinical Experience from a Single Center

Adult Intussusception: Clinical Experience from a Single Center

Adult Intussusception: Diagnosis and Management Strategies. 10 Years Experience from North India

A Clinical Overview of a Retrospective Study About Adult Intussusceptions: Focusing on Discrepancies Among Previous Studies

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