[Evaluation of medical and surgical treatment of intestinal invagination in children].
Authors review 70 consecutive cases of intussusception treated from 1969 to 1984. Most patients (87.5%) were under one year, and male/female ratio was 2/1. Nutritional status was good as 75.7% were above 50 percentiles for age. There was a higher seasonal incidence in spring and summer. Most frequent presenting symptom were weeping/pain (87.1%), rectal bleeding (82.8%) and vomiting (78.5%). Typical symptomatology was present in only 48.5%. Plain X-ray of abdomen and ultrasonography are the best diagnostic aid (91.4% and 90%). Hydrostatic reduction was successful in 30.1% whereas 51 cases had to be operated with a resection rate of 27.5%. Half of the patients over two years had an organic leading point. Complications, 8.6% were related with age, clinical course and need for bowel resection.
Bautista Casasnovas
A
A
Servicio de Cirugía Pediátrica, Hospital General de Galicia, Clínico Universitario, Santiago de Compostela, La Coruña.
Varela Cives
R
R
Nieto Vázquez
B
B
Pavón Belinchón
P
P
Rodrigo Sáenz
E
E
Abellas Rosende
B
B
Castro-Gago
M
M
D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007410:Intestinal Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D007443:Intussusception / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D011859:Radiography; D012189:Retrospective Studies; D013997:Time Factors
Evaluación del tratamiento médico y quirúrgico de la invaginación intestinal en el niño.