Surgiicall and Non--Surgiicall Management off IIntussusceptiions

Abstract

 Intussusception refers to the invagination of a part of the intestine into itself. Approximately 75 percent of cases of intussusception are considered "idiopathic", although some of these episodes may be triggered by viral infections. The remaining 25 percent of cases are caused by an underlying disease or condition which creates a pathological lead point for the intussusception, including Meckel diverticulum.  Intussusception recurs after successful nonoperative reduction in approximately 10 percent of patients. If the patient is stable, we suggest treating recurrences with repeated nonoperative reduction rather than surgery. Patients with one or more recurrences are more likely to have pathological lead points.  Surgical treatment is indicated as a primary intervention for patients with suspected intussusception who are acutely ill or have evidence of perforation. Surgery also may be appropriate when the patient is treated in a location where the radiographic facilities and expertise to perform nonoperative reduction are not readily available. Surgery also may be necessary for patients in whom nonoperative reduction is unsuccessful, or for evaluation or resection of a pathological lead point. Key words Intussusception, Management, Non-operative, surgery, barium, intestinal obstruction, bleeding per rectum, red jelly