Intussusception natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
If left untreated, patients with intussusception may progress to develop [[Bowel obstruction|intestinal obstruction]], [[intestinal perforation]], and [[peritonitis]]. Common complications of intussusception include [[intestinal perforation]],[[intestinal]] [[hernia]], [[intestinal]] [[adhesion]], [[peritonitis]], [[intestinal]] [[necrosis]], [[Electrolyte disturbance|electrolyte imbalance]], and recurrence of intussusception. [[Prognosis]] is generally excellent if [[Diagnosis|diagnosed]] and treated early. If intussusception is not treated then intussusception can result in death in 2-5 days. | |||
==Natural History, Complications, and Prognosis== | |||
==Natural | ===Natural history=== | ||
*If left untreated, patients with intussusception may progress to develop [[Bowel obstruction|intestinal obstruction]], [[perforation]], and [[peritonitis]] . | |||
*If intussusception is not treated then it may be [[fatal]] within 2-5 days. | |||
==Complications== | ===Complications=== | ||
* | *Common complications of intussusception include: | ||
**[[Gastrointestinal perforation|Intestinal perforation]].<ref name="pmid6480660">{{cite journal |vauthors=Blane CE, DiPietro ME, White SJ, Klein ME, Coran AG, Wesley JR |title=An analysis of bowel perforation in patients with intussusception |journal=J Can Assoc Radiol |volume=35 |issue=2 |pages=113–5 |year=1984 |pmid=6480660 |doi= |url=}}</ref> | |||
**[[Intestinal]] [[hernia]] | |||
**[[Intestine|Intestinal]] [[Adhesion (medicine)|adhesions]]<ref name="pmid2780199">{{cite journal |vauthors=Kline M, Sapp GL |title=Carolina Picture Vocabulary Test: validation with hearing-impaired students |journal=Percept Mot Skills |volume=69 |issue=1 |pages=64–6 |year=1989 |pmid=2780199 |doi=10.2466/pms.1989.69.1.64 |url=}}</ref> | |||
**[[Peritonitis]] | |||
**[[Intestinal]] [[necrosis]] | |||
**[[Electrolyte disturbance|Electrolyte imbalance]] | |||
**Recurrence | |||
==Prognosis== | ===Prognosis=== | ||
* | *[[Prognosis]] is generally excellent if [[Diagnosis|diagnosed]] and treated early. | ||
* After non-operative reduction is less than 10%.<ref name="pmid21034940">{{cite journal |vauthors=Niramis R, Watanatittan S, Kruatrachue A, Anuntkosol M, Buranakitjaroen V, Rattanasuwan T, Wongtapradit L, Tongsin A |title=Management of recurrent intussusception: nonoperative or operative reduction? |journal=J. Pediatr. Surg. |volume=45 |issue=11 |pages=2175–80 |year=2010 |pmid=21034940 |doi=10.1016/j.jpedsurg.2010.07.029 |url=}}</ref> | |||
* Recurrence mostly occurs within 72 hours after first episode. | |||
* In some cases recurrence has been reported after 36 months. | |||
* More than 1 recurrence can be due to a lead point. | |||
* After pneumatic [[enema]] recurrence rate is 4%. | |||
* After [[Lower gastrointestinal series|barium enema]] recurrence rate is 10%. | |||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
Latest revision as of 14:58, 9 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]
Overview
If left untreated, patients with intussusception may progress to develop intestinal obstruction, intestinal perforation, and peritonitis. Common complications of intussusception include intestinal perforation,intestinal hernia, intestinal adhesion, peritonitis, intestinal necrosis, electrolyte imbalance, and recurrence of intussusception. Prognosis is generally excellent if diagnosed and treated early. If intussusception is not treated then intussusception can result in death in 2-5 days.
Natural History, Complications, and Prognosis
Natural history
- If left untreated, patients with intussusception may progress to develop intestinal obstruction, perforation, and peritonitis .
- If intussusception is not treated then it may be fatal within 2-5 days.
Complications
- Common complications of intussusception include:
Prognosis
- After non-operative reduction is less than 10%.[3]
- Recurrence mostly occurs within 72 hours after first episode.
- In some cases recurrence has been reported after 36 months.
- More than 1 recurrence can be due to a lead point.
- After pneumatic enema recurrence rate is 4%.
- After barium enema recurrence rate is 10%.
References
- ↑ Blane CE, DiPietro ME, White SJ, Klein ME, Coran AG, Wesley JR (1984). "An analysis of bowel perforation in patients with intussusception". J Can Assoc Radiol. 35 (2): 113–5. PMID 6480660.
- ↑ Kline M, Sapp GL (1989). "Carolina Picture Vocabulary Test: validation with hearing-impaired students". Percept Mot Skills. 69 (1): 64–6. doi:10.2466/pms.1989.69.1.64. PMID 2780199.
- ↑ Niramis R, Watanatittan S, Kruatrachue A, Anuntkosol M, Buranakitjaroen V, Rattanasuwan T, Wongtapradit L, Tongsin A (2010). "Management of recurrent intussusception: nonoperative or operative reduction?". J. Pediatr. Surg. 45 (11): 2175–80. doi:10.1016/j.jpedsurg.2010.07.029. PMID 21034940.