Evaluation of medical and surgical treatment of intestinal invagination in children
Bautista Casasnovas, A.; Varela Cives, R.; Nieto Vázquez, B.; Pavón Belinchón, P.; Rodrigo Sáenz, E.; Abellas Rosende, B.; Castro-Gago, M.
Anales Espanoles de Pediatria 29(4): 279-283
1988
ISSN/ISBN: 0302-4342 PMID: 3069017 Document Number: 315580
Authors review 70 consecutive cases of intussusception treated from 1969 to 1984. Most patients (87.5%) were under one year, and male/female ratio was 2/1. Nutritional status was good as 75.7% were above 50 percentiles for age. There was a higher seasonal incidence in spring and summer. Most frequent presenting symptom were weeping/pain (87.1%), rectal bleeding (82.8%) and vomiting (78.5%). Typical symptomatology was present in only 48.5%. Plain X-ray of abdomen and ultrasonography are the best diagnostic aid (91.4% and 90%). Hydrostatic reduction was successful in 30.1% whereas 51 cases had to be operated with a resection rate of 27.5%. Half of the patients over two years had an organic leading point. Complications, 8.6% were related with age, clinical course and need for bowel resection.