Baeza-Herrera C, Salinas-Montes J, Montero-Uzcanga CA, Velasco-Soria L, Godoy-Esquivel AH

Language: Spanish
References: 15
Page: 329-332
PDF size: 188.15 Kb.

ABSTRACT

Introduction. Intussusception is one of the most common and serious acute abdominal surgical pathologies in children and a frequent cause of severe complications. When there are no indications for a primary laparotomy the approach at the Moctezuma Children’s Hospital (Hospital Pediátrico Moctezuma), includes a clinical examination and one or several attempts to obtain a disinvagination with the aid of barium enemas.
Material and methods. A retrospective review of the records of 190 children treated for intussusception in our hospital between the years of 2000 and 2005 was conducted in order to know how many had an organic cause for this condition. Twenty-six patients with this condition were 12 months of age or older. In this group of seven (26.9%) there was an organic cause: four, a Peutz-Jeghers syndrome (PJS) and three, a Meckel’s diverticulum (MD).
Conclusions. We propose that insussusception in children over one year of age that cannot be reduced by hydrostatic barium enema, require a surgical intervention.

REFERENCES

1. Potts WJ. La cirugía en el niño. Librería y Editorial Bernardes, Buenos Aires 1960;pp195-8.

2. Rege VM, Deshmukh SS, Borwankar SS, Kulkarni BK. Intussusception in infancy and childhood: evaluation of a prognosis scoring pattern. J Postgrad Med 1991;37:109-14.

3. Baeza CH, García LMC, Nájera MHG, Sánchez FLA, Mora FH, Ortíz AIZ. Surgical aspects of intussusception secondary to Peutz-Jeghers syndrome. Cir Ciruj 2005;73:91-5.

4. Guo JZ, Ma XY, Zhou QH. Results of air pressure enema reduction of intussusception: 6,396 cases in 13 years. J Pediatr Surg 1986;21:1201-3.

5. Ong NT, Beasley SW. The leadpoint in intussusception. J Pediatr Surg 1990;25:640-3.

6. Fecteau A, Flageole H, Nguyen LT, Laberge JM, Shaw KS, Guttman FM. Recurrent intussusception: Safe use of hydrostatic enema. J Pediatr Surg 1996;31:859-61.

7. Poddoubnyi IV, Dronov AF, Binnikov OI, Smirnov AN, Darneko IA, Dedov KA. Laparoscopy in the treatment of intussusception in children. J Pediatr Surg 1998;33:1194-7.

8. Deshmukh RVM, Borwankar SS, Kulkari BK. Intussusception in infancy and childhood: evaluation of a prognostic scoring pattern. J Postgrad Med 1991;37:109-14.

9. Baeza CH, Menéndez ER, Rodríguez RM, Cárdenas MR. Invaginación intestinal complicada. Bol Med Hosp Infant Mex 199;51:332-6.

10. Ein SH, Shandling B, Reilly BJ, Stringer DA. Hydrostatic reduction of intussusception caused by lead points. J Pediatr Surg 1986;21:883-6.

11. Pang LC. Intussusception revisited: clinicopathologic analysis of 261 cases with emphasis on pathogenesis. South Med J 1989;82:215-28.

12. Meier DE, Coln CD, Rescorla FJ, Olaolorum A, Tarpley JL. Intussusception in children: International perspective. World J Surg 1996;20:1035-40.

13. West KW, Stephens B, Vane DW, Grosfeld JL. Intussusception: Current management in infants and children. Surgery 1987;102:704-10.

14. Agha FP. Intussuscpetion in adults. Radiology 1986;146:527-31.

15. Beasley SW, Auldist AW, Stokes KB. Recurrent intussusception: barium or surgey? Aust NZ J Surg 1987;57:11-14.