A clinicopathologic study of intussusception in Nepalese adults

Introduction: Intussusception is rate in adults and is usually secondary to a definable pathology. This study was designed to review adult intussusception, including presentation, diagnosis, and pathology. Methods: A retrospective study of 18 cases of intussusception in individuals older than 18...

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Autores principales:	Vikal Chandra Shakya, Bikram Byanjankar, Rabin Pandit, Anir Ram Moh Shrestha, Saurav Karki, Anang Pangeni
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2020
Materias:	Adult intussusception Bowel obstruction Colocolic Ileoileocolic Lead point Surgery RD1-811
Acceso en línea:	https://doaj.org/article/dd548f1b4bc546ff95e161ecbedf2b9e
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spelling	oai:doaj.org-article:dd548f1b4bc546ff95e161ecbedf2b9e2021-12-05T19:15:43ZA clinicopathologic study of intussusception in Nepalese adults10.3126/jssn.v23i1.335141815-39842392-4772https://doaj.org/article/dd548f1b4bc546ff95e161ecbedf2b9e2020-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/33514https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Intussusception is rate in adults and is usually secondary to a definable pathology. This study was designed to review adult intussusception, including presentation, diagnosis, and pathology. Methods: A retrospective study of 18 cases of intussusception in individuals older than 18 years of age visiting the department of surgery of Civil Service Hospital from 2010 to 2018 was done. Results: There were 18 cases of adult intussusception. The mean age was 49.2 years (range 19-84 years). Abdominal pain and vomiting were the commonest symptoms. The median duration of presentation was 5 days (range 20 hours to 10 months). Three patients (16.6%) presented with generalized peritonitis. There were eight ileocolic, seven ileoileal, and three colocolic intussusceptions. Two patients (11.1%) settled spontaneously. Twelve out of the 18 patients (66.6%) had leading lesions. Benign pathologies were seen in seven cases (38.8%) and malignant in five patients (27.7%). All malignancies were in the large bowl Conclusions: Adult intussusception is a rare entity, nearly one-third of their causes are malignant. Surgery is the best recommended treatment, with or without a primary reduction of the intussusception; the latter can result in more limited bowel resection. Vikal Chandra ShakyaBikram ByanjankarRabin PanditAnir Ram Moh ShresthaSaurav KarkiAnang PangeniSociety of Surgeons of NepalarticleAdult intussusceptionBowel obstructionColocolicIleoileocolicLead pointSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 23, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Adult intussusception Bowel obstruction Colocolic Ileoileocolic Lead point Surgery RD1-811
spellingShingle	Adult intussusception Bowel obstruction Colocolic Ileoileocolic Lead point Surgery RD1-811 Vikal Chandra Shakya Bikram Byanjankar Rabin Pandit Anir Ram Moh Shrestha Saurav Karki Anang Pangeni A clinicopathologic study of intussusception in Nepalese adults
description	Introduction: Intussusception is rate in adults and is usually secondary to a definable pathology. This study was designed to review adult intussusception, including presentation, diagnosis, and pathology. Methods: A retrospective study of 18 cases of intussusception in individuals older than 18 years of age visiting the department of surgery of Civil Service Hospital from 2010 to 2018 was done. Results: There were 18 cases of adult intussusception. The mean age was 49.2 years (range 19-84 years). Abdominal pain and vomiting were the commonest symptoms. The median duration of presentation was 5 days (range 20 hours to 10 months). Three patients (16.6%) presented with generalized peritonitis. There were eight ileocolic, seven ileoileal, and three colocolic intussusceptions. Two patients (11.1%) settled spontaneously. Twelve out of the 18 patients (66.6%) had leading lesions. Benign pathologies were seen in seven cases (38.8%) and malignant in five patients (27.7%). All malignancies were in the large bowl Conclusions: Adult intussusception is a rare entity, nearly one-third of their causes are malignant. Surgery is the best recommended treatment, with or without a primary reduction of the intussusception; the latter can result in more limited bowel resection.
format	article
author	Vikal Chandra Shakya Bikram Byanjankar Rabin Pandit Anir Ram Moh Shrestha Saurav Karki Anang Pangeni
author_facet	Vikal Chandra Shakya Bikram Byanjankar Rabin Pandit Anir Ram Moh Shrestha Saurav Karki Anang Pangeni
author_sort	Vikal Chandra Shakya
title	A clinicopathologic study of intussusception in Nepalese adults
title_short	A clinicopathologic study of intussusception in Nepalese adults
title_full	A clinicopathologic study of intussusception in Nepalese adults
title_fullStr	A clinicopathologic study of intussusception in Nepalese adults
title_full_unstemmed	A clinicopathologic study of intussusception in Nepalese adults
title_sort	clinicopathologic study of intussusception in nepalese adults
publisher	Society of Surgeons of Nepal
publishDate	2020
url	https://doaj.org/article/dd548f1b4bc546ff95e161ecbedf2b9e
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A clinicopathologic study of intussusception in Nepalese adults

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