Frequency, Associated Symptoms and Prognosis of Intussusception in Tertiary Care Hospital of Province Sindh
Journal of Pharmaceutical Research International,
Background: Intussusception is an important disease of childhood & has been recognized since ancient time. It commonly involves young infants of 3 ½ months to 10 months of age. Diagnosis is mostly clinical on the basis of classical triad or quarter of pain in abdomen, vomiting palpable abdominal mass and currant red jelly stools. It is confirmed by ultrasound, barium enema which also has a therapeutic potential. The parents in our region lacks awareness regarding the intussusception. They usually bring the child to hospitals after trying various homemade or herbal remedies. The delay in diagnosis always results in severity in symptoms and aggressive mode of treatment.
Objective: The current study was aimed to identify the Frequency, associated symptoms and post-operative complications of intussusception in tertiary care hospital of Province Sindh
Methodology: It was a cross sectional study conducted from July 2017 to June 2020 at department of Pediatric Surgery Ghulam Mohammad Mahar Medical College Teaching Hospital Sukkur. Data regarding symptoms and prognosis was noted on the file of patient and written informed consent was taken from parents. Data was analyzed by using SPSS version 20. Chi square was applied as test of significance at 95%confidance interval and p-value less than 0.05 was considered as significant.
Results: Fourty patients of intussusceptions were reported the mean age was 5.88 ± 1.5 months while 8 (20%) patients were 1to10 years with mean age of 3.88± 3.18 years. Thirteen (32.5%) patients presented within 24 hours of onset of symptoms and 27 (67.5%) presented after 24 hours 19 (47.5%) patients had history of diarrhea while 6 (15%) patients had respiratory tract infection. The most common postoperative complication was gut gangrene.
Conclusion: In three years of study we found only 40 children who came to our hospital with diarrhea and the triad i.e. abdominal pain, abdominal mass and bleeding per rectum. Ultrasound abdomen was found to be best diagnostic modality with impressive accuracy rate at our setup. Gut gangrene was postoperative complication and recurrence was uncommon.
- postoperative complications.
How to Cite
Guo WL, Hu ZC, Tan YL, Sheng M, Wang J. Risk factors for recurrent intussus ception in children: a retrospective cohort study. BMJ open. 2017;7(11):e018604.
Zhang Y, Dong Q, Li SX, Ren WD, Shi B, Bai YZ, et al. Clinical and ultrasonographic features of secondary intussusception in children. European radiology. 2016;26(12): 4329-38.
Jo S, Lim IS, Chae SA, Yun SW, Lee NM, Kim SY, et al. Characteristics of intussus ception among children in Korea: A nation wide epidemiological study. BMC Pediatrics. 2019;19(1):211.
Edwards EA, Pigg N, Courtier J, Zapala MA, MacKenzie JD, Phelps AS. Intussus ception: Past, present and future. Pediatric radiology. 2017;47(9):1101-8.
Gluckman S, Karpelowsky J, Webster AC, McGee RG. Management for intussusce ption in children. Cochrane Database of Systematic Reviews. 2017;6.
Shiyi EY, Ganapathy S. Intussusception in children presenting to the emergency department: an Asian perspective. Pedia tric Emergency Care. 2017;33(6):409-13.
Mehendale S, Kumar CG, Venkatasubra manian S, Prasanna T. Intussusception in children aged less than five years. The Indian Journal of Pediatrics. 2016;83(10): 1087-92.
Liu N, Yen C, Huang T, Cui P, Tate JE, Jiang B, et al. Incidence and epidemiology of intussusception among children under 2 years of age in Chenzhou and Kaifeng, China, 2009–2013. Vaccine. 2018;36(51): 7862-7.
Das MK, Arora NK, Gupta B, Sharan A, Kameswari K, Padmalatha P, et al. Intussusception in children aged under two years in India: Retrospective surveillance at nineteen tertiary care hospitals. Vaccine. 2020;38(43):6849-57.
Kimia AA, Hadar PN, Williams S, Landschaft A, Monuteaux MC, Bachur RG. Variation in the Presentation of Intussus ception by Age. Pediatric Emergency Care. 2020;36(8):372-7.
Marsicovetere P, Ivatury SJ, White B, Holubar SD. Intestinal intussusception: etiology, diagnosis, and treatment. Clinics in colon and rectal surgery. 2017;30(01): 030-9.
Wong CW, Chan IH, Chung PH, Lan LC, Lam WW, Wong KK, et al. Childhood intussusception: 17-year experience at a tertiary referral centre in Hong Kong. Hong Kong Medical Journal; 2015.
Yousafzai MT, Thobani R, Qazi SH, Saddal N, Yen C, Aliabadi N, et al. Intussusception among children less than 2 years of age: Findings from pre-vaccine introduction surveillance in Pakistan. Vaccine. 2018;36(51):7775-9.
Dadlani A, Lal S, Shahani B, Ali M. Ultrasonography for the Diagnosis of Intussusception in Children: An experience from Pakistan. Cureus. 2020;12(8).
Ooko PB, Oloo M, Mwaka V, Russell W. Presentation and management outcome of children with intussusception at Tenwek Hospital, Kenya. East and Central African Journal of Surgery. 2016;21(2):55-9.
Okafor CO, Aronu ME, Obasikene C, Ugwu JO. Ultrasonographic diagnosis and ultrasonic reduction of intussusception in Nnewi, South-East Nigeria. The Nigerian Journal of General Practice. 2020;18(2): 48.
Simon NM, Joseph J, Philip RR, Sukumaran TU, Philip R. Intussus ception: single center experience of 10 years. Indian pediatrics. 2019;56(1):29-32.
Wong CW, Chan IH, Chung PH, Lan LC, Lam WW, Wong KK, et al. Childhood intussusception: 17-year experience at a tertiary referral centre in Hong Kong. Hong Kong Medical Journal. 2015.
Di Giacomo V, Trinci M, Van Der Byl G, Catania VD, Calisti A, Miele V. Ultra sound in newborns and children suffering from non-traumatic acute abdominal pain: Imag ing with clinical and surgical correlation. Journal of Ultrasound. 2015;18(4):385-93.
Carroll AG, Kavanagh RG, Leidhin CN, Cullinan NM, Lavelle LP, Malone DE. Comparative effectiveness of imaging modalities for the diagnosis and treatment of intussusception: A critically appraised topic. Academic Radiology. 2017;24(5): 521-9.
Apelt N, Featherstone N, Giuliani S. Laparoscopic treatment of intussus ception in children: A systematic review. Journal of Pediatric Surgery. 2013; 48(8): 1789-93.
Kelley Quon LI, Arthur LG, Williams RF, Goldin AB, Peter SD, Beres AL, et al. Management of intussusception in children: A systematic review. Journal of pediatric surgery. 2020.
Abstract View: 0 times
PDF Download: 0 times