A clinicopathologic study of intussusception in Nepalese adults
Introduction: Intussusception is rate in adults and is usually secondary to a definable pathology. This study was designed to review adult intussusception, including presentation, diagnosis, and pathology. Methods: A retrospective study of 18 cases of intussusception in individuals older than 18...
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| Format: | Article |
| Language: | English |
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Society of Surgeons of Nepal
2020-12-01
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| Series: | Journal of Society of Surgeons of Nepal |
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| Online Access: | https://www.nepjol.info/index.php/JSSN/article/view/33514 |
| _version_ | 1819237312934969344 |
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| author | Vikal Chandra Shakya Bikram Byanjankar Rabin Pandit Anir Ram Moh Shrestha Saurav Karki Anang Pangeni |
| author_facet | Vikal Chandra Shakya Bikram Byanjankar Rabin Pandit Anir Ram Moh Shrestha Saurav Karki Anang Pangeni |
| author_sort | Vikal Chandra Shakya |
| collection | DOAJ |
| description | Introduction: Intussusception is rate in adults and is usually secondary to a definable pathology. This study was designed to review adult intussusception, including presentation, diagnosis, and pathology.
Methods: A retrospective study of 18 cases of intussusception in individuals older than 18 years of age visiting the department of surgery of Civil Service Hospital from 2010 to 2018 was done.
Results: There were 18 cases of adult intussusception. The mean age was 49.2 years (range 19-84 years). Abdominal pain and vomiting were the commonest symptoms. The median duration of presentation was 5 days (range 20 hours to 10 months). Three patients (16.6%) presented with generalized peritonitis. There were eight ileocolic, seven ileoileal, and three colocolic intussusceptions. Two patients (11.1%) settled spontaneously. Twelve out of the 18 patients (66.6%) had leading lesions. Benign pathologies were seen in seven cases (38.8%) and malignant in five patients (27.7%). All malignancies were in the large bowl
Conclusions: Adult intussusception is a rare entity, nearly one-third of their causes are malignant. Surgery is the best recommended treatment, with or without a primary reduction of the intussusception; the latter can result in more limited bowel resection. |
| first_indexed | 2024-12-23T13:18:20Z |
| format | Article |
| id | doaj.art-dd548f1b4bc546ff95e161ecbedf2b9e |
| institution | Directory Open Access Journal |
| issn | 1815-3984 2392-4772 |
| language | English |
| last_indexed | 2024-12-23T13:18:20Z |
| publishDate | 2020-12-01 |
| publisher | Society of Surgeons of Nepal |
| record_format | Article |
| series | Journal of Society of Surgeons of Nepal |
| spelling | doaj.art-dd548f1b4bc546ff95e161ecbedf2b9e2022-12-21T17:45:32ZengSociety of Surgeons of NepalJournal of Society of Surgeons of Nepal1815-39842392-47722020-12-0123110.3126/jssn.v23i1.33514A clinicopathologic study of intussusception in Nepalese adultsVikal Chandra Shakya0Bikram Byanjankar1Rabin Pandit2Anir Ram Moh Shrestha3Saurav Karki4Anang Pangeni5Department of Surgery, Civil Service Hospital, Minbhawan, KathmanduDepartment of Surgery, Civil Service Hospital, Minbhawan, KathmanduDepartment of Surgery, Civil Service Hospital, Minbhawan, KathmanduDepartment of Surgery, Civil Service Hospital, Minbhawan, KathmanduDepartment of Surgery, Nepalese Army Institute of Health Sciences, Bhandarkhal, Sanobharyang, KathmanduDepartment of Surgery, William Harvey Hospital, East Kent Hospitals University Foundation Trust, Ashford, KentIntroduction: Intussusception is rate in adults and is usually secondary to a definable pathology. This study was designed to review adult intussusception, including presentation, diagnosis, and pathology. Methods: A retrospective study of 18 cases of intussusception in individuals older than 18 years of age visiting the department of surgery of Civil Service Hospital from 2010 to 2018 was done. Results: There were 18 cases of adult intussusception. The mean age was 49.2 years (range 19-84 years). Abdominal pain and vomiting were the commonest symptoms. The median duration of presentation was 5 days (range 20 hours to 10 months). Three patients (16.6%) presented with generalized peritonitis. There were eight ileocolic, seven ileoileal, and three colocolic intussusceptions. Two patients (11.1%) settled spontaneously. Twelve out of the 18 patients (66.6%) had leading lesions. Benign pathologies were seen in seven cases (38.8%) and malignant in five patients (27.7%). All malignancies were in the large bowl Conclusions: Adult intussusception is a rare entity, nearly one-third of their causes are malignant. Surgery is the best recommended treatment, with or without a primary reduction of the intussusception; the latter can result in more limited bowel resection.https://www.nepjol.info/index.php/JSSN/article/view/33514Adult intussusceptionBowel obstructionColocolicIleoileocolicLead point |
| spellingShingle | Vikal Chandra Shakya Bikram Byanjankar Rabin Pandit Anir Ram Moh Shrestha Saurav Karki Anang Pangeni A clinicopathologic study of intussusception in Nepalese adults Journal of Society of Surgeons of Nepal Adult intussusception Bowel obstruction Colocolic Ileoileocolic Lead point |
| title | A clinicopathologic study of intussusception in Nepalese adults |
| title_full | A clinicopathologic study of intussusception in Nepalese adults |
| title_fullStr | A clinicopathologic study of intussusception in Nepalese adults |
| title_full_unstemmed | A clinicopathologic study of intussusception in Nepalese adults |
| title_short | A clinicopathologic study of intussusception in Nepalese adults |
| title_sort | clinicopathologic study of intussusception in nepalese adults |
| topic | Adult intussusception Bowel obstruction Colocolic Ileoileocolic Lead point |
| url | https://www.nepjol.info/index.php/JSSN/article/view/33514 |
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