Abstract:
AIM:To investigate the frequency, clinical significance, and outcome of small-bowel intussusceptions in adults detected using ultrasound in an outpatient setting. PATIENTS AND METHODS:In two different retrospective (January 2001 to April 2003) and prospective (May 2003 to June 2005) periods, 33 small-bowel intussusceptions were found in 32 patients (13 females; mean age: 38.1 years) with known or suspected intestinal disease. Patients underwent diagnostic work-up to assess any organic disease. Patients with self-limiting intussusception were submitted to clinical and ultrasonographic follow-up. RESULTS:Of the 32 patients with small-bowel intussusception, 25 were identified in the prospective series of 4487 examinations (0.53%) and seven in the retrospective series of 5342 examinations (0.15%; p=0.002). Four patients had persistent and 28 self-limiting intussusceptions. Self-limiting intussusceptions were idiopathic in 11 patients (39%) or associated with organic diseases in 17 (Crohn's disease in 11 patients, celiac disease in three, ulcerative colitis in one patient, and previous surgery for cancer in two). Self-limiting intussusceptions were asymptomatic in 25% of patients. CONCLUSION:Small-bowel intussusceptions in adults are not rare and are frequently self-limiting, idiopathic, or related to organic diseases, mainly Crohn's disease and coeliac disease.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Maconi G,Radice E,Greco S,Bezzio C,Bianchi Porro Gdoi
10.1016/j.crad.2007.02.009subject
Has Abstractpub_date
2007-08-01 00:00:00pages
792-7issue
8eissn
0009-9260issn
1365-229Xpii
S0009-9260(07)00113-4journal_volume
62pub_type
杂志文章abstract::Over a 12 month period all patients but one presenting to our hospital with occluded prosthetic grafts were treated by thrombolysis using local pulsed administration of tissue-type plasminogen activator (t-PA). There were 30 interventions in 23 patients but in one patient no thrombolytic was given after aspiration of ...
journal_title:Clinical radiology
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pub_type: 临床试验,杂志文章
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doi:10.1016/s0009-9260(88)80222-8
更新日期:1988-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80217-7
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(88)80537-3
更新日期:1988-05-01 00:00:00
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doi:10.1016/s0009-9260(88)80339-8
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pub_type: 杂志文章
doi:10.1016/s0009-9260(82)80185-2
更新日期:1982-09-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(75)80095-x
更新日期:1975-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:1979-05-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
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更新日期:2009-06-01 00:00:00