The Clinical Features of Patients Requiring Surgical Treatment for Pediatric Intussusception

Abstract Purpose : This study was conducted to examine the clinical features of pediatric intussusception requiring surgical treatment. Patiants and Methods : Between January 1, 1989 and Jane 30, 1999, a total of 140 children with intussusception were referred to Yamaguchi University Hospital, 13 (9.3%) of whom underwent surgical treatment. The age, sex, duration of symptoms and signs, type of intussusception, lead points, and other clinical features were examined. Result : The median age of onset was 1 year and the median duration of symptoms was 21 h. Ileo-ileo-colic, ileo-colic, and ileo-ileo type intussusception were present in 6(46.2%), 7(53.8%), 1(7.7%), and 1(7.7%) patiants (23.1%) underwent bowel resection for bowel necrosis or lead points. Conclusion : Pediatric intussusception necessitating surgical treatment was often associated with accompanying appendiceal intussusception or a marked ileocecal band, or both, apart from organic lesions.

Intussusception

surgical treatment

lead points

appendiceal intussusception