title: Intussusception in children: experience with 105 patients in a department of paediatric surgery, Turkey.
abstract: OBJECTIVE
  The aim of this study was to present our experience in patients with intussusception (IN).
  
  
  METHODS
  One hundred and five cases of IN treated between 1991 and 2007 were analysed. Age, gender, symptoms, signs, diagnostic and treatment methods, types of IN including leading point, and postoperative complications were evaluated.
  
  
  RESULTS
  The mean age of the patients was 2.5 years (range 1 month - 15 years). Fifty-nine per cent (62/105) were under 1 year of age, and of these 28% were receiving therapy for upper respiratory tract infection. The most common symptom was colicky abdominal pain. Rectal bleeding was present in all patients under 2 years of age. In 23 children (21.9%) leading points were detected. Thirty per cent of the patients were older than 4 years, and 76.6% of these had leading points. Ultrasonography demonstrated the invaginated segment in 93 patients. Hydrostatic reduction was attempted in 71.4% (75) of the patients and was successful in 48% (36), 70% of whom were under 1 year of age. Of the patients with unsuccessful hydrostatic reduction, 11 required intestinal resection and primary anastomosis and 35 manual reduction. Twenty-four patients were diagnosed by means of ultrasonography and were operated on immediately. Ten of these patients had signs of peritonitis on admission and were treated by resection-primary anastomosis.
  
  
  CONCLUSIONS
  In patients with IN under 2 years of age, hydrostatic or pneumatic reduction may be successful. Considering the high incidence of leading points in older children, one should not persist with reduction but should rather design a treatment plan accordingly, i.e. laparotomy with manual reduction or resection.
authors.affiliation: Department of Pediatric Surgery, Gazi University Medical Faculty, Ankara, Turkey.
authors.forename: Kaan
authors.initials: K
authors.lastname: Sonmez
authors.forename: Zafer
authors.initials: Z
authors.lastname: Turkyilmaz
authors.forename: Billur
authors.initials: B
authors.lastname: Demirogullari
authors.forename: Ramazan
authors.initials: R
authors.lastname: Karabulut
authors.forename: Nuri
authors.initials: N
authors.lastname: Kale
authors.forename: A Can
authors.initials: AC
authors.lastname: Basaklar
mesh_terms: D000293:Adolescent; D001466:Barium Sulfate / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003287:Contrast Media / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004733:Enema; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007443:Intussusception / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D007813:Laparotomy / Q000379:methods*; D008297:Male; D010538:Peritonitis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D011183:Postoperative Complications; D012008:Recurrence; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology; D014463:Ultrasonography
chemical_list: D003287:Contrast Media; D001466:Barium Sulfate