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Year :2022
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Month :
January-February
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Volume :
11
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Issue :
1
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Page :
SO01 - SO04
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Intussusception in Children: A Prospective Cohort Study
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Correspondence Address :
Santoshkumar Nagnath Deshmukh, Zeal Nevil Sanghvi, Rakesh Ramesh Pawar,
Dr. Santoshkumar Nagnath Deshmukh,
Shree Sadgurukrupa, Plot No-A/3, South Part, Sonia Nagar, Old Vidi Gharkul,
Near Hira-Moti Tower, Solapur-413005, Maharashtra, India.
E-mail: santoshkumarndeshmukh@gmail.com
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Introduction: Introduction: Intussusception is one of the most frequent causes of bowel obstruction in infants and toddlers. Due to wide variety of clinical presentations and overlap with other abdominal conditions, the diagnosis of intussusception is often delayed. Delayed diagnosis and treatment leading to gangrene and perforation of the bowel increases the morbidity and mortality of this condition. Therefore, prompt diagnosis and treatment is warranted for better outcome.
Aim: To find out the possible aetiological factors, clinical presentation and treatment outcome of intussusception in children.
Materials and Methods: A prospective descriptive cohort study was conducted in the Department of General Surgery from October 2018 to November 2020, in which 30 patients with diagnosis of intussusception undergoing either hydrostatic reduction or open surgical intervention were enrolled. Age and sex were the independent variables while surgical outcome was the dependent variable assessed.
Results: Thirty patients (males=17 and females=13) of intussusception with mean age 10.8±19.12 months were included in the study. In 83.33% patients, intussusception was idiopathic, while, pathological lead point was noted in 16.67% patients. Ileo-colic (76.67%) was the most common type of intussusception detected. A 70% patient’s required open surgery while hydrostatic reduction carried out in 30% patients. No mortality was observed in this study.
onclusion: The commonly affected age group was 7 to 12 months. Surgery is the mainstay of treatment while hydrostatic reduction is effective in few properly selected patients.
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