Intestinal Intussusception: Etiology, Diagnosis, and Treatment.

Abstract:

:Intussusception is defined as the invagination of one segment of the bowel into an immediately adjacent segment of the bowel. Idiopathic ileocolic intussusception is the most common form in children and is typically managed with nonoperative reduction via pneumatic and/or hydrostatic enemas. In the adult population, intussusception is uncommon and occurs more often in the small intestine than in the colon. It is associated with lead point pathology in most symptomatic cases presenting as bowel obstruction. When lead point pathology is present in adult small bowel intussusception, it is usually benign, though when malignant it is most frequently due to diffuse metastatic disease, for example, melanoma. In contrast, adult ileocolic and colonic intussusception lead point pathology is most frequently primary adenocarcinoma when malignant. The diagnosis is typically made intraoperatively or by cross-sectional imaging. With increasingly frequent CT/MRI of the adult abdomen in the current era, transient and/or asymptomatic intussusceptions are increasingly found and may often be appropriately observed without intervention. When intervention in the adult population is warranted, usually oncologic bowel resection is performed due to the association with lead point pathology.

journal_name

Clin Colon Rectal Surg

authors

Marsicovetere P,Ivatury SJ,White B,Holubar SD

doi

10.1055/s-0036-1593429

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

30-39

issue

1

eissn

1531-0043

issn

1530-9681

pii

00765

journal_volume

30

pub_type

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