Intussusception natural history, complications and prognosis: Difference between revisions

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==Overview==
==Overview==
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
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.  
 
OR
 
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
 
OR
 
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
==Natural History, Complications, and Prognosis==
==Natural History, Complications, and Prognosis==


===Natural History===
===Natural History===
*The symptoms of (disease name) usually develop in the first/ second/ third decade of life, and start with symptoms such as ___.
*If left untreated, patients with intussusception may progress to develop intestinal obstruction, perforation, and peritonitis .
*The symptoms of (disease name) typically develop ___ years after exposure to ___.
*If intussusception is not treated then it can fatal in 2-5 days.
*If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].


===Complications===
===Complications===
*Common complications of [disease name] include:
*Common complications of intussusception include:
**[Complication 1]
**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>
**[Complication 2]
**Intestinal Hernia
**[Complication 3]
**Intestinal adhesions
**Peritonitis
**Intestinal necrosis
**Electrolyte imbalance
**Recurrence


===Prognosis===
===Prognosis===
*Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
*Prognosis is generally excellent if diagnosed and treated early.
*Depending on the extent of the [tumor/disease progression/etc.] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent.
 
*The presence of [characteristic of disease] is associated with a particularly [good/poor] prognosis among patients with [disease/malignancy].
* After nonoperative reduction is less than 10%.  
*[Subtype of disease/malignancy] is associated with the most favorable prognosis.
* Recurrence mostly occurs within 72 hours after first episode.  
*The prognosis varies with the [characteristic] of tumor; [subtype of disease/malignancy] have the most favorable prognosis.
* 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==
==References==

Revision as of 15:00, 2 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 can fatal in 2-5 days.

Complications

  • Common complications of intussusception include:
    • Intestinal perforation.[1]
    • Intestinal Hernia
    • Intestinal adhesions
    • Peritonitis
    • Intestinal necrosis
    • Electrolyte imbalance
    • Recurrence

Prognosis

  • Prognosis is generally excellent if diagnosed and treated early.
  • After nonoperative reduction is less than 10%.
  • 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

  1. ↑ 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.

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