Adult intussusception in Northern India

作者：Gupta Vikas; Doley Rudra Prasad; Bharathy Kishore Gurumoorthy Subramanya; Yadav Thakur Deen; Joshi Kusum; Kalra Naveen; Kang Mandeep; Kochhar Rakesh; Wig Jai Dev^*

来源：International Journal of Surgery, 2011, 9(4): 297-301.

DOI：10.1016/j.ijsu.2011.01.004

• Intussusception
• Small bowel
• Intussusception large bowel
• Resection
• Intestine
• Computed tomography
• Surgery
• Disease

Background: Adult intussusception is infrequently encountered in Asians. The diagnosis is often late because of the variable presentation. The optimal treatment is not universally agreed upon.
Purpose: To determine the causes and management of this uncommon entity in India.
Methods: A retrospective review of patients with postoperative diagnosis of intussusception between March 2003 and March 2008 was conducted in a tertiary care centre in North India. Data relating to diagnosis, treatment and histopathology was analyzed.
Results: Twenty-seven patients, aged 15-72 years with 28 intussusceptions were studied. Four patients (14.29%) had acute presentation, 16 (57.14%) subacute and 7 (25%) had chronic symptoms. The most common type of intussusception was enteroenteric. A diagnosis of intussusception on contrast enhanced computed tomogram was made in 84% and a lead point was identified in 89%. A causative factor could be identified in 89% (25 out of 28 intussusceptions) which was malignant in 37% and benign in 48%. The most common underlying malignant lesions were adenocarcinoma (50%), and lymphoma (25%). Among benign lesions, small bowel polyps were the most common (57%). All cases underwent surgical intervention. Bowel resection was performed in 89%. There was no mortality.
Conclusion: Our series highlights a high frequency of a demonstrable cause of intussusception in a tropical country. Overall our results are similar to those reported from other countries. Resection of the involved bowel is recommended because of high incidence of underlying pathology.

• 出版日期2011
• 单位河北医科大学