Clinical-surgical characterization of patients with a diagnosis of intussusception
Keywords:
Acute abdomen, Intussusception, Pediatrics, TreatmentAbstract
Introduction: Intussusception is the leading cause of acute abdomen and intestinal occlusion in infants and young children, with a peak incidence between 5 and 9 months. Objective: To characterize the patients who suffered intussusception in the “Juan Manuel Márquez” Pediatric Hospital in a period of 7 years. Material and methods: An observational, descriptive and cross-sectional study was carried out in patients who suffered intussusception treated at the “Juan Manuel Márquez” Pediatric Hospital, which covered the period from January 1, 2013 to January 1, 2020. A universe of 104 patients diagnosed with intussusception. Absolute frequencies and percentages were used for qualitative variables. Results: Regarding age, the largest number of patients was concentrated in the group from 0 to 6 months with 49 (47.1%). The highest incidence was in male patients with 64 patients. The month with the most cases was in May with a total of 15 cases for 14.42%. When analyzing the treatment, surgical treatment predominated with 80 patients for 76.92%. Conclusions: It was found that intussusception did not occur with great frequency in the period studied, prevailing in male infants in the first 6 months of life. He highlighted vomiting as the main symptom. In general, a predominance of ileocecocolic invaginations and surgical treatment was observed.References
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8. Herwig K, Brenkert T, Losek JD. Enema-reduced intussusception management: is hospitalization necessary? Pediatr Emerg Care [internet]. 2019 [citado 10 ene. 2020]; 25(2):74-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19194346
9. Jenke AC, Klaassen-Miel ke R, Zilbauer M, Heininger U, Trampisch H, Wirth S. Intussusception: incidence and treatment-insights from the nationwide German surveillance. J Pediatr Gastroent e rol Nutr [internet]. 2011 [citado 10 ene. 2020]; 52(4):446-51. Disponible en: https://sites.kowsarpub.com/ijp/articles/62442.html
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17. Abate H, Linares A, Venegas G, Vergara RF. A multicenter study of intussusception in Latin Americ a: first year results. En: 24th International Congress of Pediatrics; [internet]. 2015 [citado 10 ene. 2020]; Cancún, Mexico. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-12492014000200002
18. Abate H, Strugo L, Falaschi A. Aspectos clínicos y epidemiológicos de la invaginación intestinal en niños menores de 2 años, de la provincia de Mendoza, Argentina. Arch Argent Pediatr [internet]. 2006 [citado 10 ene. 2020]; 104(6):496-500. Disponible en: https://dominiodelasciencias.com/ojs/index.php/es/article/view/1166
19. Quian J, Más M, Jurado R. Invaginación intestinal: estudio de su incidencia durante un año en Uruguay. Arch Pediatr Urug [internet]. 2018 [citado 10 ene. 2020]; 76(2):106-10. Disponible en: http://www.scielo.edu.uy/pdf/adp/v76n2/v76n2a04.pdf
20. Escaffi J. JA, Valenzuela A. M. Reducción hidrostática de invaginación intestinal guiada por ultrasonido: Una nueva opción. Rev Chil Radiol [internet]. 2016 [citado 20 ene. 2020];14(1):[aprox. 6 p.]. Disponible en: http://www.scielo.cl/scielo.php?pid=S071793082008000100005&script=sci_arttext&tlng=pt
21. Weiss S, Streng A, Kries RV, Liese J, Wirth S, Jenke AC. Incidence of intussusception in early infancy: A capture-recapture estimate for Germany. Klin Padiatr [internet]. 2017 Jun. [citado 10 ene 2020];223(7):[aprox. 5 p.]. Disponible en: https://www.thiemeconnect.de/DOI/DOI?10.1055/s-0031-1279735
22. Chen SC, Wang JD, Hsu HY, Leong MM, Tok TS, Chin YY. Epidemiology of childhood intussusception and determinants of recurrence and operation: analysis of national health insurance data between 1998 and 2007 in Taiwan. Pediatr Neonatol. [internet]. 2010 [citado 10 ene. 2020]; 51(5):285-91. Disponible en: https://www.frontiersin.org/articles/10.3389/fped.2019.00145/full
23.Vandertuin L1, Vunda A, Gehri M, Sanchez O, Hanquinet S, Gervaix A. Intestinal intussusception in children: truly a classic triad Rev Med Suisse. [internet]. 2015 [citado 10 ene. 2020];7(283):451-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21452514
24.Muhsen K1, Kassem E, Efraim S, Goren S, Cohen D, Ephros M. Incidence and risk factors for intussusception among children in northern Israel from 1992 to 2009: a retrospective study. BMC Pediatr. [internet]. 2016 [citado 10 ene. 2020];14:218. Disponible en: http://doi.org/10.1186/1471-2431-14-218
25.Hernández E, Martínez N, Bueno JC, Delgado N, Aguilar D, Duany AT. Reducción hidrostática de la invaginación intestinal con solución salina y guía de ultrasonido. Valoración de su efectividad y seguridad. Arch Méd Camagüey [internet]. 2016 [citado 12 feb. 2020]; 9(6):[aprox. 11 p.]. Disponible en: http://www.amc.sld.cu/amc/2005/v9-n6-2005/2013.pdf
2. Soler Viaillant R. Otras causas del abdomen agudo. En: Cirugía del abdomen. La Habana: Editorial Ciencias Médicas; 2010. p. 121-42.
3. Saverino BP, Lava C, Lowe LH, Rivard DC. Radiographic findings in the diagnosis of pediatric ileocolic intussusception: comparison to a control population. Pediatr Emerg Care. [internet]. 2016 [citado 10 ene. 2020]; 26(4):281-4. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20401973
4. Latipov R, Khudoyorov R, Flem E. Childhood intussusception in Uzbekistan: analysis of retrospective surveillance data. BMC Pediatrics [internet]. 2011 Mar. 24 [citado 10 enero 2020];11:[aprox. 8 p.]. Disponible en: http://bmcpediatr.biomedcentral.com/articles/10.1186/1471-2431-11-22
5. Michelena C, Berazategui R. Invaginación intestinal. En: Bello O, Sehabiague G, Prego J, de Leonardis D. Pediatría: urgencias y emergencias. 3 ed. Montevideo: Biblio médica, 2009: 1177-84.
7. Waseem M, Rosenberg HK. Intussusception. Pediatr Emerg Care [internet]. 2018 [citado 10 ene. 2020]; 24(11):793-800. Disponible en: https://link.springer.com/article/10.1007/s10140-020-01860-8
8. Herwig K, Brenkert T, Losek JD. Enema-reduced intussusception management: is hospitalization necessary? Pediatr Emerg Care [internet]. 2019 [citado 10 ene. 2020]; 25(2):74-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19194346
9. Jenke AC, Klaassen-Miel ke R, Zilbauer M, Heininger U, Trampisch H, Wirth S. Intussusception: incidence and treatment-insights from the nationwide German surveillance. J Pediatr Gastroent e rol Nutr [internet]. 2011 [citado 10 ene. 2020]; 52(4):446-51. Disponible en: https://sites.kowsarpub.com/ijp/articles/62442.html
10. Blanch AJ, Perel SB, Acworth JP. Paediatric intussusception: epidemiology and outcome. Emerg Med Australas [internet]. 2017 [citado 10 ene. 2020]; 19(1):45-50. Disponible en: https://europepmc.org/abstract/MED/17305660
11. Yalda A, Valenzuela MT, O’Ryan G. Perfil epidemiológico y clínico de la invaginación intestinal en lactantes de la región Metropolitana. Rev Méd Chile [internet]. 2004 [citado 10 ene. 2020]; 132(5):565-72. Disponible en: https://scielo.conicyt.cl/pdf/rmc/v132n5/art05.pdf
12. Bruce J, Huh YS, Cooney DR, Karp MP, Allen JE, Jewett TC Jr. Intussusception: evolution of current management. J Pediatr Gastroenterol Nutr [internet]. 2018 [citado 10 ene. 2020]; 6(5):663-74. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/3320323
13. Niramis R, Watanatittan S, Kruatrachue A, Anuntkosol M, Buranakitjaroen V, Rattanasuwan T, et al. Management of recurrent intussusception: nonoperative or operative reduction? J Pediatr Surg [internet]. 2010 [citado 10 ene. 2020]; 45(11):2175-80. Disponible en: https://reference.medscape.com/medline/abstract/21034940
14. Shekherdimian S, Lee SL. Management of pediatric intussusception in general hospitals: diagnosis, treatment, and differences based on age. World J Pe diatr [internet]. 2017 [citado 10 ene. 2020]; 7(1):70-3. Disponible en: https://reference.medscape.com/medline/abstract/21191779
15. Curtis JL, Gutierrez IM, Kirk SR, Gollin G. Failure of enema reduction for ileocolic intussuseption at a referring hospital does not preclude repeatat tempts at a children’s hospital. J Pe diatr Surg [internet]. 2010 [citado 10 ene. 2020]; 45(6):1178-81. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0022346810002010
16. Ekenze SO, Mgbor SO. Childhood intussusception: the implications of de la yed presentation. Afr J Paediatr Surg [internet]. 2016 [citado 10 ene. 2020]; 8(1):15-8. Disponible en: http://www.afrjpaedsurg.org/articleasp?issn=0189-6725;year=2011;volume=8;issue=1;spage=15;epage=18;aulast=Ekenze
17. Abate H, Linares A, Venegas G, Vergara RF. A multicenter study of intussusception in Latin Americ a: first year results. En: 24th International Congress of Pediatrics; [internet]. 2015 [citado 10 ene. 2020]; Cancún, Mexico. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-12492014000200002
18. Abate H, Strugo L, Falaschi A. Aspectos clínicos y epidemiológicos de la invaginación intestinal en niños menores de 2 años, de la provincia de Mendoza, Argentina. Arch Argent Pediatr [internet]. 2006 [citado 10 ene. 2020]; 104(6):496-500. Disponible en: https://dominiodelasciencias.com/ojs/index.php/es/article/view/1166
19. Quian J, Más M, Jurado R. Invaginación intestinal: estudio de su incidencia durante un año en Uruguay. Arch Pediatr Urug [internet]. 2018 [citado 10 ene. 2020]; 76(2):106-10. Disponible en: http://www.scielo.edu.uy/pdf/adp/v76n2/v76n2a04.pdf
20. Escaffi J. JA, Valenzuela A. M. Reducción hidrostática de invaginación intestinal guiada por ultrasonido: Una nueva opción. Rev Chil Radiol [internet]. 2016 [citado 20 ene. 2020];14(1):[aprox. 6 p.]. Disponible en: http://www.scielo.cl/scielo.php?pid=S071793082008000100005&script=sci_arttext&tlng=pt
21. Weiss S, Streng A, Kries RV, Liese J, Wirth S, Jenke AC. Incidence of intussusception in early infancy: A capture-recapture estimate for Germany. Klin Padiatr [internet]. 2017 Jun. [citado 10 ene 2020];223(7):[aprox. 5 p.]. Disponible en: https://www.thiemeconnect.de/DOI/DOI?10.1055/s-0031-1279735
22. Chen SC, Wang JD, Hsu HY, Leong MM, Tok TS, Chin YY. Epidemiology of childhood intussusception and determinants of recurrence and operation: analysis of national health insurance data between 1998 and 2007 in Taiwan. Pediatr Neonatol. [internet]. 2010 [citado 10 ene. 2020]; 51(5):285-91. Disponible en: https://www.frontiersin.org/articles/10.3389/fped.2019.00145/full
23.Vandertuin L1, Vunda A, Gehri M, Sanchez O, Hanquinet S, Gervaix A. Intestinal intussusception in children: truly a classic triad Rev Med Suisse. [internet]. 2015 [citado 10 ene. 2020];7(283):451-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21452514
24.Muhsen K1, Kassem E, Efraim S, Goren S, Cohen D, Ephros M. Incidence and risk factors for intussusception among children in northern Israel from 1992 to 2009: a retrospective study. BMC Pediatr. [internet]. 2016 [citado 10 ene. 2020];14:218. Disponible en: http://doi.org/10.1186/1471-2431-14-218
25.Hernández E, Martínez N, Bueno JC, Delgado N, Aguilar D, Duany AT. Reducción hidrostática de la invaginación intestinal con solución salina y guía de ultrasonido. Valoración de su efectividad y seguridad. Arch Méd Camagüey [internet]. 2016 [citado 12 feb. 2020]; 9(6):[aprox. 11 p.]. Disponible en: http://www.amc.sld.cu/amc/2005/v9-n6-2005/2013.pdf
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2021-03-22
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Valdés Blanco M, Cabrera Nicó A, Rodríguez-Venegas E de la C, Denis-Piedra DA, Valdés Guerrero R. Clinical-surgical characterization of patients with a diagnosis of intussusception. Rev 16 de abril [Internet]. 2021 Mar. 22 [cited 2024 Dec. 22];60(279):e1100. Available from: https://rev16deabril.sld.cu/index.php/16_04/article/view/1100
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