Delgado MA

Language: Spanish
References: 13
Page: 555-559
PDF size: 160.37 Kb.

ABSTRACT

The intestinal invagination or intussusception is an obstructive disease which takes place when a segment of the intestine interferes inside another intestinal segment distal. The intussusception presentation in children differs from the adults in all aspects of clinical presentation, diagnosis and managing. In children, it is a common pathology, the most idiopathic. In adults, it is infrequent and the reason can be identified which generally has a malignant origin. The classic triad is the clinical presentation that helps to diagnose the intussusception in children; nevertheless, these signs and symptoms do not appear mostly; therefore, it is necessary to value the neurological semiology which can appear with a digestive clinic. The diagnostic method chosen is the abdominal ultrasound. The treatment chosen is the radiological reduction, preferably the air (ACE) as a contrast way because of its low risk in the reduction appellant of up to 10 episodes. Nevertheless, some studies demonstrated that the surgical intervention must be considered in the third episode of the intestinal invagination. The surgery is reserved as the last option. In adults, symptoms are unspecific, sharp or chronic. The simple X-ray photography of abdomen is the diagnostic method chosen. The tomography of abdomen is considered the most sensitive radiological method for the diagnosis of invagination and it is used in those complex cases as in neoplasias. The surgery is the treatment chosen for the high probability of malignancy, thereby the resection justifies itself without reduction.

REFERENCES

1. Agarwal S, Burke P , Dan J, Mahoney E. Adult intussusception secondary to colorect al cancer in a young man: a case report. The Journal of Emergency Medicine. Elsevier, 2012. Vol. 43, No. 6, pp. 983–986.

2. Anido V, Vázquez E, Vázquez Y. Invaginación intestinal en el niño, respuesta al tratamiento médico. Revista Cubana de Pediatría. ECIMED 2015. Vol. 87(3), pp 265- 272.

3. Anuntkosol M, Kruatrachue A, Niramis R, Watanatittan S. Management of recurrent intussusception: nonoperative or operative reduction? Journal of Pediatric Surgery. Elsevier 2010. Vol. 45, pp 2175–2180.

4. Apelta N, Featherstone N, Giuliani S. Laparoscopic treatment of intussusception in children: A systematic review. Journal of Pediatric Surgery. Elsevier 2013. Vol. 48, pp 1789–1793.

5. Bezares G, López N, Quiroz C, Ramírez F, Ríos D. Invaginación intestinal: un dilema diagnóstico en el adulto. Reporte de dos casos y revisión de la bibliografía. Cirugía y Cirujanos. Academia Mexicana de Cirugía, A.C. 2014. Vol. 82, pp. 436-441.

6. Burneo M, Fabregues A, Franco R, Martín J, Pérez D. Invaginación intestinal en el adulto. Una causa infrecuente de obstrucción mecánica. Revista de Gastroenterología de México. Elsevier 2012. Vol. 77(3), pp 153-156.

7. Carreras I, Domínguez J, Escobar T, García J, Maraña A, Puertas V. Manifestaciones neurológicas de la invaginación intestinal. Anales de Pediatría. Elsevier 2014. Vol. 80 (5), pp 293-298.

8. Chan W, Hsu W, Lee H, Yeung C. Recurrent Intussusception: When Should Surgical Intervention be Performed? Pediatrics and Neonatology. Elsevier 2012. Vol. 53, pp 300-303.

9. Elnahas A, Hsieh H, Pemberton J, Tokhais T. Antibiotics administration before enema reduction of intussusception: is it necessary? Journal of Pediatric Surgery. Elsevier, 2012. Vol. 47, pp 928–930

10. Fike F, Holcomb G, Mortellaro V, Shawn P. Predictors of failed enema reduction in childhood intussusception. Journal of Pediatric Surgery. Elsevier 2012. Vol. 47, pp 925–927.

11. Fisher J, Klein J, Pennington E, Sparks E, Turner C. Operative indications in recurrent ileocolic intussusception. Journal of Pediatric Surgery. Elsevier 2015. Vol. 50, pp 126– 130.

12. Gruszczyńska K, Grzybowska U, Kalita B, Kalużna M. Intussusception as a complication of rotavirus infection in children. Pediatría Polska. Elsevier 2015. Vol 90, pp 464–469.

13. Norambuena C, Ruiz A, Yáñez J. Invaginación intestinal recurrente secundaria a apéndice cecal invaginado. Caso clínico. Rev Chil Pediatr 2012. Vol.83 (6), pp 595-598.