What is the treatment of choice for a child with intussusception?
Treatment options for intussusception may include: A water soluble contrast or air enema. This is both a diagnostic procedure and a treatment. If an enema works, further treatment is usually not necessary.
How do I know if my child has intussusception?
The first sign of intussusception in an otherwise healthy infant may be sudden, loud crying caused by abdominal pain. Infants who have abdominal pain may pull their knees to their chests when they cry. The pain of intussusception comes and goes, usually every 15 to 20 minutes at first.
What causes jejunal intussusception?
The exact cause of intussusception is unknown. In most cases, it is preceded by a virus that produces swelling of the lining of the intestine, which then slips into the intestine below. In some children, it is caused by a condition that the child is born with, such as a polyp or diverticulum.
What age group is intussusception?
Intussusception typically presents between 6 and 36 months of age, and is the most common cause of intestinal obstruction in this age group. Approximately 60 percent of children with intussusception are younger than one year old, and 80 to 90 percent are younger than two years .
Can intussusception be treated without surgery?
Most cases can be successfully treated by hydrostatic or pneumatic reduction without surgical intervention. In contrast, intussusception in adults is a rare disorder that represents only 1% of intestinal obstructions and nearly 5% of all intussusception cases [3-5].
What is commonly used to reduce intussusception?
The aim of enema therapy is to reduce the greatest number of intussusceptions without producing perforation. Barium, water-soluble contrast media, water, electrolyte solutions, or air may be used with radiographic or US guidance.
Can intussusception correct itself?
In many cases, it can be corrected during diagnostic testing. Sometimes it goes away on its own. In some cases, surgery may be needed. If not treated, intussusception can be life-threatening.
What is a jejunal intussusception?
Intussusception is a potentially life-threatening condition involving intermittent crampy abdominal pain, occurrence of mucoid hematochezia, and threatened ischemia of the small intestine. Intussusceptions originate from telescoping of a segment of the gastrointestinal tracts into an adjacent section of the bowel [1.
What is intussusception in child?
Intussusception (in-tuh-suh-SEP-shun) happens when one part of the bowel slides into the next, much like the pieces of a telescope. When this “telescoping” happens: The flow of fluids and food through the bowel can get blocked. The intestine can swell and bleed.
What are the different types of intussusception?
Four types of intussusception are described; ileo-colic, ileo-ileo-colic, colo-colic and small bowel intussusception (jejuno-jejunal and ileo-ileal). Ileo-colic intussusception is the most common type, accounting for over 80% of cases in children.
What is the most common complication of intussusception?
What are the complications of intussusception?
- intestinal obstruction.
- dehydration link.
- lack of blood flow to the blocked part of the intestine and death of the blood-starved tissues.
- a perforation, or hole, in the wall of the intestine.
- peritonitis, an infection of the lining of the abdominal cavity.
How does intussusception happen in kids?
Causes. The cause of intussusception is not known, although viral infections may be responsible in some cases. It may be caused by an abnormality (such as a polyp) in the intestines or as a result of recent intestinal surgery. In most children there is no abnormality present, and the cause is unknown.
How common is intussusception in toddlers?
Intussusception is the most common cause of intestinal blockage in children between ages 3 months and 3 years. It is rare in newborn babies. But it can also occur in older children, teenagers, and adults.
Can a child get intussusception twice?
Previous studies have noted that the rate of recurrence of intussusception ranges from 8% to 15%,8 9 which is a little lower than the current results. A possible reason for this difference is the high rate of surgical reduction in their studies. Daneman et al reported 69 recurrent intussusception cases over 17 years.
Can constipation cause intussusception?
Adult symptoms of intussusception can be non-specific and develop over a more extended period. They can include: abdominal pain. constipation, diarrhea, or change in bowel habits.
How can intussusception be prevented in children?
Since the there is no known cause, there is no way to prevent or avoid intussusception.
Can intussusception come back after surgery?
Surgical reduction of recurrent intussusception may be reserved for cases of failure of hydrostatic reduction, positive peritoneal sign or existence of pathological lead point because of favorable response to barium reduction. Recurrent intussusception seldom occurs in patients who underwent surgical reduction.
Is there an intussusception at the jejunojeunostomy after Roux-en-Y (Ry) reconstruction?
Jejunal intussusception at the jejunojeunostomy after total gastrectomy with Roux-en-Y (RY) reconstruction is rare. We describe a case of jejunal intussusception at the jejunojeunostomy that developed in a 60-year-old woman who had undergone laparoscopic total gastrectomy with RY reconstruction for …
What causes intussusception in children?
Intussusception is the most common cause of intestinal obstruction in children between the ages of three months and six years. The cause of intussusception is not known, although viral infections may be responsible in some cases. It may be caused by an abnormality (such as a polyp) in the intestines or as a result of recent intestinal surgery.
What happens after my child has surgery for intussusception?
If your child had surgery to treat intussusception, he will recover in the post-acute care unit for an hour or so, and then will be moved to a hospital room. Your child may experience pain and will receive medication through an IV if needed.
What is the treatment for intussusception in children?
Surgery. Which surgical procedure is used will depend on your child’s condition. Whether open surgery or laparoscopic, the intussusception is carefully reduced by gently pushing the leading portion of the intussusceptions back upstream to reduce the telescoping of the bowel.