American Journal of Public Health Research
ISSN (Print): 2327-669X ISSN (Online): 2327-6703 Website: http://www.sciepub.com/journal/ajphr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Public Health Research. 2015, 3(4A), 53-56
DOI: 10.12691/ajphr-3-4A-11
Open AccessResearch Article

Intussusception in Children: A Short-Term Analysis in a Tertiary Care Hospital

NK Hazra1, OB Karki1, , M Verma1, D Rijal1, Abhijit De2 and B Nath3

1Manipal College of Medical Sciences, Pokhara, Nepal

2Medical Officer, Kolkata, India

3Gardi Medical College, Ujjain, India

Pub. Date: June 16, 2015
(This article belongs to the Special Issue Maternal and Child Health)

Cite this paper:
NK Hazra, OB Karki, M Verma, D Rijal, Abhijit De and B Nath. Intussusception in Children: A Short-Term Analysis in a Tertiary Care Hospital. American Journal of Public Health Research. 2015; 3(4A):53-56. doi: 10.12691/ajphr-3-4A-11

Abstract

In children especially in infancy and early childhood intussusception is a common cause of bowel obstruction. The pattern of clinical presentations in children and outcomes of intussusception management in low resource setup and to tackle the challenging problems in the management of problem were analyzed. From January 2012 to December 2014 the records of all children below 15 years of age who experienced intussusception were reviewed. All these children were managed and treated at Manipal Teaching Hospital, Pokhara in the Western Region of Nepal. Clinical outcomes were correlated with age, sex, clinical symptoms, diagnostics and treatment protocol and length of hospital stay. Total 26 children of intussusception were managed during the three years period (2011-2014) with male to female ratio of 1.6:1. The common symptoms were abdominal pain (62%) and bleeding per rectum (31%) and irritability (25%). Ileocolic intussusceptions (76%) was the commonest type of intussusception in this study and mesenteric lymph nodes (46%) and appendix (23%) were the common lead points. The patients who had undergone operative reduction stayed in the hospital longer than those who had not undergone operative procedure. Surgical site infection (23%), postoperative ileus (15%), pneumonia (11%) were the commonest complications. Lack of specialized facilities and trained personnel were main reason for nonsurgical reduction. Intussusception cases usually reported late, therefore, operative procedure was the main treatment modality in the present hospital setup.

Keywords:
Intussusception Lead Point Pathology Western Nepal

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  DiFiore JW. Intussusception. Semin PediatrSurg. 1999; 8: 214-20.
 
[2]  Doi O, Aoyama K, Hutson JM. Twenty-one cases of small bowel intussusception: the pathophysiology of idiopathic intussusception and the concept of benign small bowel intussusception. Pediatr SurgInt. 2004; 20: 140-3.
 
[3]  Murphy TV, Gargiullo PM, Massoudi MS, Nelson DB, Jumaan AO, Okoro CA, et al. Intussusception among infants given an oral rotavirus vaccine. N Engl J Med. 2001; 344: 564-572.
 
[4]  Ameh EA. The morbidity and mortality of laparotomy for uncomplicated intussusception in children. West Afr J Med 2002; 21: 115-6.
 
[5]  Ugwu BT, Legbo JN, Dakum NK, Yiltok SJ, Mbah N, Uba FA. Childhood intussusception: a 9-year review. Ann Trop Pediatr. 2000; 20: 131-5.
 
[6]  Bines JE, Ivanoff B, Justice F, Mulholland K: Clinical case definition for the diagnosis of acute intussusception. J Pediatr Gastroenterol Nutr. 2004, 39: 511-8.
 
[7]  ai AHM, Phua KB, Teo E: Intussusception: a three-year review. Ann Acad Med Singapore. 2002, 31: 81-5.
 
[8]  Johnson B, Gargiullo P, Murphy TV, Parashar UD, Patel MM: Factors associated with bowel resection among infants with intussusception in the United States. Pediatr Emerg Care. 2012; 28: 529-532.
 
[9]  Abbas, T.O., et al. Retrospective Surveillance over 11 Years for Intussusception in Children Younger than 14 Years in the State of Qatar. Open Journal of Pediatrics. 2014; 4, 1-11.
 
[10]  Sathian B, Sreedharan J, Baboo NS, Sharan K, Abhilash ES, Rajesh E. Relevance of Sample Size Determination in Medical Research. Nepal Journal of Epidemiology 2010; 1 (1): 4-10.
 
[11]  Fischer TK, Bihrmann K, Perch M, et al. Intussusception in early childhood: a cohort study of 1.7 million children. Pediatrics. 2004; 114: 782-5.
 
[12]  Kaiser AD, Applegate KE, Ladd AP. Current success in the treatment of intussusception in children. Surgery. 2007; 142: 469-77.
 
[13]  Shakya VC, Agrawal CS, Sinha AK, Bhatta NK, Khania S, AdhikaryS. Childhood Intussusception: A Prospective Institutional Study at BPKIHS. J Nepal PaedtrSoc. 2011; 31 (1): 6-10.
 
[14]  Doi O, Aoyama K, Hutson JM. Twenty-one cases of small bowel intussusception: the pathophysiology of idiopathic intussusception and the concept of benign small bowel intussusception. PediatrSurgInt. 2004; 20: 140-3.
 
[15]  Ong NT, Beasley SW. The lead point in intussuception. J PediatrSurg. 1990; 25: 640-3.
 
[16]  Chen SC, Wang JD, Hsu HY, Leong MM, Tok, TS. and Chin, YY. Epidemiology of Childhood Intussusception and Determinants of Recurrence and Operation: Analysis of National Health Insurance Data between 1998 and 2007 in Taiwan. Pediatrics & Neonatology. 2010; 51: 285-291.
 
[17]  HO WL, Yang TW, Chi WC, Chang HJ, Huang LM, Chang MH. Intussusception in Taiwanese Children: Analysis of Incidence, Length of Hospitalization and Hospital Costs in Different Age Groups. Journal of the Formosan Medical Association. 2005; 104: 398-401.