What is the surgery for intussusception?
What is the surgery for intussusception?
In the patient with intussusception of the small intestine, an associated primary malignancy is uncommon. Initial reduction, followed by limited surgical resection, is the preferred treatment. Surgical resection without reduction is favored only when an underlying primary malignancy is clinically suspected.
How do you fix intussusception in adults?
Surgery is the definitive treatment of adult intussusceptions. Formal bowel resection with oncological principles is followed for every case where a malignancy is suspected.
How serious is intussusception in adults?
Intussusception can be a life-threatening condition. When one part of the intestine slides into another, food can’t pass through. Blood can’t get to the area either, which can cause a tear in the bowel, infection, and internal bleeding.
Is adult intussusception an emergency?
Adult bowel intussusception is a rare and challenging condition. Preoperative diagnosis is often missed or delayed because of non-specific symptoms. Intussusception is a surgical emergency, and delays in treatment can lead to high mortality.
What happens after intussusception surgery?
Patients with postoperative intussusception may experience increased nasogastric drainage, vomiting, lack of stool and growing abdominal distension, and they rarely exhibit the classical triad of abdominal pain, sausage-shaped palpable mass and bloody stools[6],[7].
Does intussusception need surgery?
Though intussusception is rare in adults, most cases of adult intussusception are the result of an underlying medical condition, such as a tumor. In children, the intestines can usually be pushed back into position with a minor procedure. In adults, surgery is often required to correct the problem.
What causes bowel intussusception in adults?
A polyp, tumor, or scar tissue in the intestine may trigger intussusception in adults. A digestive disorder, such as Crohn’s disease, may also lead to intussusception. Weight loss surgery or other procedures on the intestine may cause intussusception, too.
How painful is an intussusception?
The main symptom of intussusception is severe, crampy abdominal pain alternating with periods of no pain. Painful episodes may last 10 to 15 minutes or longer, followed by periods of 20 to 30 minutes of no pain, after which the pain returns.
Why do adults get intussusception?
In adults, intussusception is usually the result of a medical condition or procedure, including: A polyp or tumor. Scar-like tissue in the intestine (adhesions) Weight-loss surgery (gastric bypass) or other surgery on the intestinal tract.
Can you eat with intussusception?
After surgery for intussusception you should eat a regular diet with a variety of healthy foods. Ask the surgeon if you, your baby, or toddler needs to be on a special diet to avoid certain foods.
Do you need surgery for intussusception in adults?
Most surgeons accept that adult intussusception requires surgical intervention because of the large proportion of structural anomalies and the high incidence of occurring malignancy. However, the extent of bowel resection and the manipulation of the intussuscepted bowel during reduction remain controversial[10].
Which is the best diagnostic method for intussusception?
Conclusions: Intussusception occurs rarely in adults. It presents with a variety of acute, intermittent, and chronic symptoms, thus making its preoperative diagnosis difficult. Computed tomography scanning proved to be the most useful diagnostic radiologic method. The diagnosis and treatment of adult intussusception are surgical.
How old is the average person with intussusception?
Results: In 30 years at the Massachusetts General Hospital, there are 58 cases of surgically proven adult intussusception. The patients’ mean age was 54.4 years. Most patients presented with symptoms consistent with bowel obstruction. There were 44 enteric and 14 colonic intussusceptions.
Is it safe to reduce the intussuscepted bowel?
Reduction of the intussuscepted bowel is considered safe for benign lesions in order to limit the extent of resection or to avoid the short bowel syndrome in certain circumstances. Keywords: Intussusception, Intestinal invagination, Adult, Bowel obstruction, Computed tomography, Ultrasonography, Surgery