Intussusception in a private tertiary-care hospital, Bangkok, Thailand: a case series.
This was a retrospective case series study of patients with intussusception at a private tertiary-care hospital in Bangkok, Thailand. The computerized hospital records of all 94 children aged 0-14 years diagnosed with intussusception from 2000 to 2005 were reviewed. About half (51.1%) were males, 23.4% were less than 1 year old. Most (78.7%) were Thai nationals. The highest case frequency was in August (n=12, Poisson means = 7.8, 95% confidence interval 6.3-9.6). Of these, none had the classical triad of vomiting, colicky pain, and mucous bloody stools. Only 12.8% had fever; abdominal mass was detected in 4.3%, and 4.3% had increased bowel sounds, while 34.0% had no specific signs. The most frequent site of intussusception was the ileocolic (62.6%). Stool cultures for bacteria and stool for rotavirus antigen obtained in some cases revealed no significant findings. Of the cases, 10 (10.6%) had spontaneous reduction, 84 (89.4%) underwent barium enema intervention, 10 of the latter (11.9%) required further surgical intervention. There were no mortalities during the observation period. There were 10 recurrent events in this series. The 7-day recurrence-free probability was 84.9% (95% CI 49.2, 96.3%). This study provides baseline data regarding intussusception in Thailand which may be useful for future epidemiological and/or clinical studies.
Pruksananonda
Prasong
P
Bumrungrad International Hospital, Bangkok, Thailand. prasong@bumrungraddoctor.com
Athirakul
Krairerk
K
Worawattanakul
Mingmuang
M
Varavithya
Wandee
W
Pisithpun
Ampai
A
Kitayaporn
Dwip
D
Anuras
Sinn
S
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004733:Enema; D005243:Feces; D005260:Female; D016304:Hospitals, Private; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007443:Intussusception / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology; D008297:Male; D008499:Medical Records; D012189:Retrospective Studies; D013785:Thailand / Q000453:epidemiology