Surgical Management of Childhood Intussusception and its Outcome in DHQ Teaching Hospital, D. I. Khan

Background: Intussusception is the commonest cause of intestinal obstruction in children. It can be managed by non-operative reduction or surgically. This study was conducted to assess our experience with surgical management of childhood intussusception and its outcome. Material & Methods: A re...

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Main Authors: Akhtar Munir, Sheikh Qais Falah, Dastageer Waheed
Format: Article
Language:English
Published: Gomal Medical College, D.I.Khan, Pakistan 2012-12-01
Series:Gomal Journal of Medical Sciences
Online Access:http://gjms.com.pk/ojs24/index.php/gjms/article/view/783
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author Akhtar Munir
Sheikh Qais Falah
Dastageer Waheed
author_facet Akhtar Munir
Sheikh Qais Falah
Dastageer Waheed
author_sort Akhtar Munir
collection DOAJ
description Background: Intussusception is the commonest cause of intestinal obstruction in children. It can be managed by non-operative reduction or surgically. This study was conducted to assess our experience with surgical management of childhood intussusception and its outcome. Material & Methods: A retrospective study of the medical records of admitted cases of childhood intussusception from 1st January 2007 to 31st December 2010, in District Headquarter Hospital, Dera Ismail Khan was undertaken. Results: Out of 50 cases, 31(62%) were male and 19(38%) female. The age range was 3 months to 10 years. Majority of the cases (60%) presented with the classic triad of vomiting, abdominal pain and rectal bleeding. After resuscitation, all the patients were operated upon. In 20 patients (40%), manual reduction with appendisectomy was done while in the remaining 30(60%) patients, resection and end to end anastomosis was done. Post-operative complications occurred in 14% of cases. Four (8%) developed wound infection, 1(2%) pneumonia, 2(4%) incisional hernia, and one patient died due to septicemia. Conclusion: The surgical management of intussusception has good outcome in outcome in our setting.
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spelling doaj.art-53b8646109cd42a3b095e941facb3c5e2022-12-21T23:51:13ZengGomal Medical College, D.I.Khan, PakistanGomal Journal of Medical Sciences1819-79731997-20672012-12-01102542Surgical Management of Childhood Intussusception and its Outcome in DHQ Teaching Hospital, D. I. KhanAkhtar MunirSheikh Qais FalahDastageer WaheedBackground: Intussusception is the commonest cause of intestinal obstruction in children. It can be managed by non-operative reduction or surgically. This study was conducted to assess our experience with surgical management of childhood intussusception and its outcome. Material & Methods: A retrospective study of the medical records of admitted cases of childhood intussusception from 1st January 2007 to 31st December 2010, in District Headquarter Hospital, Dera Ismail Khan was undertaken. Results: Out of 50 cases, 31(62%) were male and 19(38%) female. The age range was 3 months to 10 years. Majority of the cases (60%) presented with the classic triad of vomiting, abdominal pain and rectal bleeding. After resuscitation, all the patients were operated upon. In 20 patients (40%), manual reduction with appendisectomy was done while in the remaining 30(60%) patients, resection and end to end anastomosis was done. Post-operative complications occurred in 14% of cases. Four (8%) developed wound infection, 1(2%) pneumonia, 2(4%) incisional hernia, and one patient died due to septicemia. Conclusion: The surgical management of intussusception has good outcome in outcome in our setting.http://gjms.com.pk/ojs24/index.php/gjms/article/view/783
spellingShingle Akhtar Munir
Sheikh Qais Falah
Dastageer Waheed
Surgical Management of Childhood Intussusception and its Outcome in DHQ Teaching Hospital, D. I. Khan
Gomal Journal of Medical Sciences
title Surgical Management of Childhood Intussusception and its Outcome in DHQ Teaching Hospital, D. I. Khan
title_full Surgical Management of Childhood Intussusception and its Outcome in DHQ Teaching Hospital, D. I. Khan
title_fullStr Surgical Management of Childhood Intussusception and its Outcome in DHQ Teaching Hospital, D. I. Khan
title_full_unstemmed Surgical Management of Childhood Intussusception and its Outcome in DHQ Teaching Hospital, D. I. Khan
title_short Surgical Management of Childhood Intussusception and its Outcome in DHQ Teaching Hospital, D. I. Khan
title_sort surgical management of childhood intussusception and its outcome in dhq teaching hospital d i khan
url http://gjms.com.pk/ojs24/index.php/gjms/article/view/783
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AT dastageerwaheed surgicalmanagementofchildhoodintussusceptionanditsoutcomeindhqteachinghospitaldikhan