[Intestinal invagination in childhood: our experience].
The Authors report their experience in the treatment of twenty-one patients with intussusception operated in the Paediatric Surgery Division ASL FG/3 between January 1988 and December 1994. Eighty-nine percent of the patients were between 2 and 12 months of age, with a peak between 2 and 6 months (60%). Ultrasound allowed to identify the pathological picture in forty-two percent of the cases and diagnosis was confirmed by barium enema. In 8 patients a pathology more or less responsible of the intussusception or associated with it was detected. The time between the onset of symptoms and admission as well as the relation between intestinal resection and duration of symptomatology were analyzed. The resection rate was maximal (55%) in those patients presenting symptoms beyond 25 hours. Intestinal resection was performed in 9 patients (47%): 6 ileo-colic; 1 ileo-colic resection extended to the splenic flexure; and 2 ileo-ileal ones. In this series no postoperative complications or recurrences or deaths were registered. Long term results proved that ileo-colic resection, even in few-months old infants, is well tolerated.
Marinaccio
F
F
Divisione di Chirurgia Pediatrica, ASL FG/3.
Nobili
M
M
Niglio
F
F
La Riccia
A
A
Marinaccio
M
M
D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006984:Hypertrophy; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D007080:Ileocecal Valve; D007223:Infant; D007417:Intestinal Polyps / Q000150:complications; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications; D010581:Peyer's Patches / Q000473:pathology