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DiFiore JW. Intussusception. Semin PediatrSurg. 1999; 8: 214-20.

has been cited by the following article:

Article

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

1Manipal College of Medical Sciences, Pokhara, Nepal

2Medical Officer, Kolkata, India

3Gardi Medical College, Ujjain, India


American Journal of Public Health Research. 2015, Vol. 3 No. 4A, 53-56
DOI: 10.12691/ajphr-3-4A-11
Copyright © 2015 Science and Education Publishing

Cite this paper:
NK Hazra, OB Karki, M Verma, D Rijal, Abhijit De, 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.

Correspondence to: OB  Karki, Manipal College of Medical Sciences, Pokhara, Nepal. Email: karkiom10@gmail.com

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.

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