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

NK Hazra¹, OB Karki^1, , 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

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

Copyright

This 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/

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