Intussusception in adults

Briggs, Dudley F.; Carpathios, J; Zollinger, Richard W.

doi:10.1016/0002-9610(61)90662-6

Cited by 62 publications

(44 citation statements)

References 6 publications

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“…McLaughlin (1948) stated that appendicitis and acute enterocololitis are most likely to be confused with intussusception. In adults, the enteric variety of intussusception is most common (Brayton and Norris, 1954;Briggs et al, 1961;Felix et al, 1976;Wang et al, 2009). Conversely, adult colonic intussusception is a relatively rare condition and is most commonly attributed to aberrant structures or neoplasms in the gastrointestinal tract.…”

Section: Adult Intussusceptionsmentioning

confidence: 96%

“…John Hunter first introduced the term ''retrograde intussusception'' to describe an invagination of the intussusceptum in a proximal (antiperistaltic) direction, opposite of the more common distal (peristaltic) direction (Briggs et al, 1961;Zenooz et al, 2007). This is expected to be rare as the peristaltic events, which are thought to precipitate intussusception, occur proximally to distally (Shekhawat et al, 1998).…”

Section: Classifications and Terminologymentioning

confidence: 96%

“…A primary intussusception is defined as idiopathic, whereas a secondary intussusception has a known cause (Briggs et al, 1961). This known cause generally begins from a pathologic lead point (PLP), such as Meckel's diverticulum, Henoch-Schonlein purpura, the inflamed appendix, endometriosis, a cecal fecalith, a colonic polyp, a ganglioneuroma, a lymphangioma, aberrant pancreatic tissue, a calcium phosphate bezoar, Crohn's disease, and celiac disease (Bosworth and Stein, 1947;Hollinshead, 1956;West et al, 1987;Fildes et al, 1989;Ong and Beasley, 1990;Stringer and Babyn, 2000;Bajaj and Roback, 2003;Matsuba et al, 2003;Kim et al, 2006;Deneve et al, 2008;Mahajna and Krausz, 2009;Soccorso et al, 2009;Theodoropoulos et al, 2009;Gonda et al, 2009).…”

Section: Classifications and Terminologymentioning

confidence: 99%

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Intussusception: An anatomical perspective with review of the literature

et al. 2011

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Originally described over 300 years ago, the clinical scenario of intussusception remains incompletely understood. Intussusception is now one of the conditions that can be, most of the time, preoperatively diagnosed and treated with success. This article reviews the literature regarding this pathological state of the abdomen and discusses what is known regarding the presentation, diagnosis, embryology, and anatomy of intussusception.

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Section: Adult Intussusceptionsmentioning

confidence: 96%

Section: Classifications and Terminologymentioning

confidence: 96%

Section: Classifications and Terminologymentioning

confidence: 99%

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Intussusception: An anatomical perspective with review of the literature

et al. 2011

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“…Adult Intussusception is distinct from pediatric intussusception in that it is rare, accounting for only 1% of patients with bowel obstructions 1,2 and 5% of all intussusceptions. [3][4][5] In contrast to intussusceptions in children, a demonstrable etiology is found in 70% to 90% of cases in the adult population.…”

Section: Discussionmentioning

confidence: 99%

“…In 20% to 50% of cases of adult intussusception, the etiologic agent is a malignancy. 3,[36][37][38] In general; the majority of lead points in the small intestine consist of benign lesions, such as benign neoplasms, inflammatory lesions, Meckel's diverticuli, appendix, adhesions, and intestinal tubes. However, whether or not the intussusception should be reduced before resection remains controversial.…”

Section: Gupta Rk Et Al Health Renaissance September-december 2010; mentioning

confidence: 99%

Intussusceptions in Adults: A Retrospective Interventional Series of Cases

et al. 1970

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Background: Intussusception is a different entity in adults than it is in children and is usually secondary to a definable pathology. Objective: To review adult intussusception: clinical features, diagnosis and their management. Subjects and methods: A retrospective review of 38 cases of intussusception in individuals older than 18 years of age presenting to BPKIHS Dharan, Nepal from January 2003 to December 2009 was done. Results: In six years, there were thirty-eight patients of surgically proven adult intussusception. The patients' mean age was 49.6 ± 16.2 years, M: F ratio was 1.3:1. Intestinal obstructions of various extents were the commonest presentation in twenty-seven patients (71%). There were 42% enteric, 32% ileocolic and 26% colonic AI. The diagnostic accuracy of the ultrasonography was 78.5%, CT scan was 90% and colonoscopy was 100%. The pathological lesions were found in 94% of AI. Among the pathological lesion, enteric have 62% benign, 38% malignant, ileocolic have 50% benign, 50% malignant, and in colocolic 70% malignant, 30% benign. In enteric AI, 68% were reduced successfully, 25% reduction was not attempted. Of ileocolic AI, 58.3% were reduced successfully, 41.6% had resection without reduction. Of colocolic AI, 30% of them were reduced successfully before resection, 70% had resection without reduction. Conclusion: CT scanning is the most useful diagnostic radiologic method in AI. Colonoscopy is the most accurate in ileocolic and colonic AI. Small-bowel intussusception should be reduced before resection if the underlying etiology is suspected to be benign or if the resection required without reduction is deemed to be massive. Large bowel should generally be resected without reduction because pathology is mostly malignant.

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Carcinoma of Cecum Associated With Intussusception

Moody

Beal

1963

Arch Surg

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Intussusception in adults

Cited by 62 publications

References 6 publications

Intussusception: An anatomical perspective with review of the literature

Intussusception: An anatomical perspective with review of the literature

Intussusceptions in Adults: A Retrospective Interventional Series of Cases

Carcinoma of Cecum Associated With Intussusception

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