Adult intussusception at a tertiary care center: A retrospective study
Background: In adults, the majority of cases of intussusception are due to malignancy. Aims: The aim of the study is to describe the pattern of intussusception in the adult population diagnosed and treated at a tertiary care center. Subjects and Methods: Study Design: This is a retrospective cross-s...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Nigerian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2020;volume=26;issue=1;spage=63;epage=65;aulast=Sainaba |
| _version_ | 1818360163928637440 |
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| author | Sulfekar Meera Sainaba Aravind S Ganapath Anoop Sivakumar A V Gayathri I P Yadev |
| author_facet | Sulfekar Meera Sainaba Aravind S Ganapath Anoop Sivakumar A V Gayathri I P Yadev |
| author_sort | Sulfekar Meera Sainaba |
| collection | DOAJ |
| description | Background: In adults, the majority of cases of intussusception are due to malignancy. Aims: The aim of the study is to describe the pattern of intussusception in the adult population diagnosed and treated at a tertiary care center. Subjects and Methods: Study Design: This is a retrospective cross-sectional study based on chart review, and data collection was made from the computer database and inpatient case records. Study Setting: Adult intussusception cases diagnosed and treated at a tertiary care referral center in South India. All inpatient case sheets including investigations and histopathology information on the computer database of all patients diagnosed with intussusception in the period of August 2012 to July 2016 were retracted based on a pretested and standardized form. Demographic data and other baseline data were summarized with descriptive statistics. SPSS software was used for data analysis. Results: Of the 77 patients, 47 (61%) were male. The common presentations were abdominal pain (95%), vomiting (64%), and rectal bleeding (29%). Common examination findings were abdominal tenderness (45%), guarding (39%), and abdominal mass (38%). On ultrasonography, fifty (65%) patients had intussusception with ileocolic (25) as the most common type. Computed tomography abdomen was taken for 28 (36%) patients, in which 23 (82%) had intussusception with ileocolic (9) as the most common type. Surgery was done for 53 (69%) patients, and the most common procedure was right hemicolectomy (25) followed by resection and anastomosis of the small bowel (23). Intraoperatively, 42 (79%) patients had intussusception with ileocolic (23) as the most common type. Intraoperatively, 14 (26%) patients had a bowel gangrene. Biopsy-proven cause for intussusception was present in 46 patients, with malignancy (21) as the most common cause. The patients were on regular follow-up. Recurrence of intussusception occurred in six patients of the small bowel intussusception who had polyposis. Conclusions: Adult intussusception is often associated with malignancy. Hence, a formal resection without reduction is needed and surgery should be done following oncological principles. |
| first_indexed | 2024-12-13T20:56:26Z |
| format | Article |
| id | doaj.art-5a34b1e6eafc437baab93e579d6e66bc |
| institution | Directory Open Access Journal |
| issn | 1117-6806 |
| language | English |
| last_indexed | 2024-12-13T20:56:26Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Journal of Surgery |
| spelling | doaj.art-5a34b1e6eafc437baab93e579d6e66bc2022-12-21T23:31:44ZengWolters Kluwer Medknow PublicationsNigerian Journal of Surgery1117-68062020-01-01261636510.4103/njs.NJS_38_19Adult intussusception at a tertiary care center: A retrospective studySulfekar Meera SainabaAravind S GanapathAnoop SivakumarA V GayathriI P YadevBackground: In adults, the majority of cases of intussusception are due to malignancy. Aims: The aim of the study is to describe the pattern of intussusception in the adult population diagnosed and treated at a tertiary care center. Subjects and Methods: Study Design: This is a retrospective cross-sectional study based on chart review, and data collection was made from the computer database and inpatient case records. Study Setting: Adult intussusception cases diagnosed and treated at a tertiary care referral center in South India. All inpatient case sheets including investigations and histopathology information on the computer database of all patients diagnosed with intussusception in the period of August 2012 to July 2016 were retracted based on a pretested and standardized form. Demographic data and other baseline data were summarized with descriptive statistics. SPSS software was used for data analysis. Results: Of the 77 patients, 47 (61%) were male. The common presentations were abdominal pain (95%), vomiting (64%), and rectal bleeding (29%). Common examination findings were abdominal tenderness (45%), guarding (39%), and abdominal mass (38%). On ultrasonography, fifty (65%) patients had intussusception with ileocolic (25) as the most common type. Computed tomography abdomen was taken for 28 (36%) patients, in which 23 (82%) had intussusception with ileocolic (9) as the most common type. Surgery was done for 53 (69%) patients, and the most common procedure was right hemicolectomy (25) followed by resection and anastomosis of the small bowel (23). Intraoperatively, 42 (79%) patients had intussusception with ileocolic (23) as the most common type. Intraoperatively, 14 (26%) patients had a bowel gangrene. Biopsy-proven cause for intussusception was present in 46 patients, with malignancy (21) as the most common cause. The patients were on regular follow-up. Recurrence of intussusception occurred in six patients of the small bowel intussusception who had polyposis. Conclusions: Adult intussusception is often associated with malignancy. Hence, a formal resection without reduction is needed and surgery should be done following oncological principles.http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2020;volume=26;issue=1;spage=63;epage=65;aulast=Sainabaadult intussusceptionbowel gangreneintestinal obstructionmalignancy |
| spellingShingle | Sulfekar Meera Sainaba Aravind S Ganapath Anoop Sivakumar A V Gayathri I P Yadev Adult intussusception at a tertiary care center: A retrospective study Nigerian Journal of Surgery adult intussusception bowel gangrene intestinal obstruction malignancy |
| title | Adult intussusception at a tertiary care center: A retrospective study |
| title_full | Adult intussusception at a tertiary care center: A retrospective study |
| title_fullStr | Adult intussusception at a tertiary care center: A retrospective study |
| title_full_unstemmed | Adult intussusception at a tertiary care center: A retrospective study |
| title_short | Adult intussusception at a tertiary care center: A retrospective study |
| title_sort | adult intussusception at a tertiary care center a retrospective study |
| topic | adult intussusception bowel gangrene intestinal obstruction malignancy |
| url | http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2020;volume=26;issue=1;spage=63;epage=65;aulast=Sainaba |
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