Effectiveness of laparoscopic interventions in children with intestinal intussusception

Sokolov, Yuri; Коровин, С А; Tumanyan, Grachik T.; Volodko, E. A.; Kirgizov, Igor V.; Dzyadchik, A. V.; Allahverdiev, Israil

doi:10.14300/mnnc.2017.12037

Medical news of the North Caucasus

2017

DOI: 10.14300/mnnc.2017.12037

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Effectiveness of laparoscopic interventions in children with intestinal intussusception

Yuri Sokolov¹,

С А Коровин²,

Grachik T. Tumanyan³

et al.

Abstract: Ключевые слова: кишечная инвагинация, дети, лапароскопияThe article presents the experience of surgical treatment of 82 children with intestinal intussusception aged from 1 month -12 years in the period of 2005-2015 years. Surgical intervention involved laparoscopy and was aimed to define the possibilities and limitations for laparoscopic disinvagination. Laparoscopic disinvagination was effective in 63 (76.8 %) patients with intestinal intussusception, the limitations were noted in 19 (23.2 %) patients with c… Show more

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“…The clinical picture in pancreatic pseudocysts by the etiology and size of the cyst is determined. With an enlarging of the pseudocysts, a pain, nausea, vomiting, intestinal obstruction, obstructive jaundice can occur [1,5,8,9]. In addition to the above complications, there are reports of observations of infection, rupture, bleeding inside the cyst [10].…”

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Laparoscopic partial resection of a post-traumatic pancreatic cyst with distal roux-en-y pancreaticojejunal anastomosis in a child

Yur’Evich¹,

Efremenkov²,

Tatevosovich³

et al. 2019

Medical news of the North Caucasus

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Российская медицинская академия непрерывного профессионального образования, москва, Российская Федерация 2 Детская городская клиническая больница св. Владимира, москва, Российская Федерация 3 Институт хирургии, Тихоокеанский государственный медицинский университет, Владивосток, Российская Федерация 4 Пермский государственный медицинский университет им. академика Е. А. Вагнера, Российская Федерация Cystic formations of the pancreas in children are relatively rare. In most cases, pseudocysts arising after injury or inflammation of the gland parenchyma, are diagnosed. The article presents a clinical observation of a 7-year-old child with a post-traumatic pancreatic cyst. Conservative treatment was ineffective. The child underwent laparoscopic partial resection of the pancreatic cyst and Roux-en-Y distal pancreatojejunostomy. The selected treatment method allowed preserving the distal part of the pancreas, ensured reliable long-term drainage of the contents into the gastrointestinal tract and recovery of a child.

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confidence: 99%

Laparoscopic partial resection of a post-traumatic pancreatic cyst with distal roux-en-y pancreaticojejunal anastomosis in a child

Yur’Evich¹,

Efremenkov²,

Tatevosovich³

et al. 2019

Medical news of the North Caucasus

Self Cite

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Peitz–Jaegers syndrome as a cause of intussusception in children

Rachkov,

Zakuyev,

Kutskaya

et al. 2023

Russian Journal of Pediatric Surgery

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BACKGROUND: Intestinal intussusception is a common cause of acute intestinal pathology in children. Peitz–Jaegers syndrome is a rare disease with an autosomal dominant type of inheritance characterized by the development of hamartomic polyps in the gastrointestinal tract and pigmented spots on the skin and mucous membranes. It is a “precancerous” state which increases the risk of oncologic formations in the gastrointestinal tract and in genital glands. Peitz–Jaegers syndrome is associated with mutations in STK11 or LKB1 genes. CLINICAL CASE DESCRIPTION: The article describes the authors’ experience in surgical resolution of the intestinal intussusception with atypical course in a 6-year-old child. Diagnostic laparoscopy detected intussusceptions in the small intestine, one of which was immediately desinvaginated with instruments and the other one required conversion. During the surgery, dense tumor-like formations were identified; therefore, jejunum loop with revealed formations was resected. Further histological and other testings showed that these formations were hamartomic polyps. The patient had been preliminary diagnosed with Peitz–Jaegers syndrome which further was confirmed by genetic and histological analyses and gastroscopic examination. The postoperative period was uneventful; the child was discharged in the satisfactory condition on day 7 after the surgery. CONCLUSION: Consultations with a pediatric surgeon and gastroenterologist, examination of the upper and lower gastrointestinal tract, monitoring polyps’ onset or growth are stages of key importance in children with Peitz–Jaegers syndrome. Such an approach promotes minimization of risks associated with the course of this disease. To prevent emergency surgical situations, it is important to make genetic analyses for children with the family history of polypous syndrome in the gastrointestinal tract.

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Clinical and Modern Features of Intussusception in Children

Podkamenev

Шарапов²,

Pikalo

et al. 2018

Russian Journal of Pediatric Surgery

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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.

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Effectiveness of laparoscopic interventions in children with intestinal intussusception

Cited by 4 publications

References 0 publications

Laparoscopic partial resection of a post-traumatic pancreatic cyst with distal roux-en-y pancreaticojejunal anastomosis in a child

Laparoscopic partial resection of a post-traumatic pancreatic cyst with distal roux-en-y pancreaticojejunal anastomosis in a child

Peitz–Jaegers syndrome as a cause of intussusception in children

Clinical and Modern Features of Intussusception in Children

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