Recurrent ileocolic intussusception after different surgical procedures in children.
Intussusception in children may recur after surgical correction. Ileopexy has popularly been used as a procedure to prevent recurrent intussusception, but its effect has not been well evaluated. The present study compared the incidence of recurrent intussusception after several different surgical procedures for intussusception in children. The charts of 278 children undergoing surgical reduction of ileocolic intussusception over 17 years were retrospectively reviewed. The incidence of recurrent intussusception was compared among the three surgical procedures: simple manual reduction, manual reduction plus ileopexy, and segmental resection. Simple manual reduction was performed in 67 (24.1%) of the 278 patients, manual reduction plus ileopexy in 186 (66.9%), and resection of the involved segment in 25 (9.0%). There were four episodes of recurrence in three (4%) patients who had had manual reduction, nine episodes in eight (4%) patients who had undergone ileopexy, and none after segmental resection. There was no statistical difference in recurrent rate among the three groups (reduction vs. ileopexy, P = 0.95; reduction vs. resection, P = 0.28; ileopexy vs. resection, P = 0.29). Ileopexy is not better than simple manual reduction in preventing recurrence of ileocolic intussusception in children.
Koh
Chee-Chee
CC
Division of Pediatric Surgery, Mackay Memorial Hospital, No. 92, Chung-Shan North Road Sec. 2, Taipei, 10449, Taiwan.
Sheu
Jin-Cherng
JC
Wang
Nien-Lu
NL
Lee
Hung-Chang
HC
Chang
Pei-Yeh
PY
Yeh
Ming-Lun
ML
D002648:Child; D002675:Child, Preschool; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery*; D007223:Infant; D007443:Intussusception / Q000601:surgery*; D008297:Male; D012008:Recurrence; D012189:Retrospective Studies