Enfrentamiento médico quirúrgico de la invaginación intestinal: Experiencia de una institución universitaria

Background: Management of intestinal intussusception in children has evolved from exclusively surgical treatments to nonoperative reduction under fluoroscopic monitoring. Aim: To report a 10 year experience in a University Hospital in the management of intestinal intussusception. Patients and method...

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Autores principales: Montes C,Patricio, Soto D,Gonzalo, Codoceo P,Ana, Mañana de T,María, García B,Cristián, Zavala B,Alejandro, Baquedano D,Paulina, Encalada A,Raúl, Zúñiga R,Sergio
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2000
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000300009
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Sumario:Background: Management of intestinal intussusception in children has evolved from exclusively surgical treatments to nonoperative reduction under fluoroscopic monitoring. Aim: To report a 10 year experience in a University Hospital in the management of intestinal intussusception. Patients and methods: Seventy two patients, aged 2 to 72 months of age, with an uncomplicated intussusception, that were treated by barium or air enema, were studied. Results: The success rate was 73% with barium reductions, and 100% with air reductions. In 17 patients (24%), enema reduction was unsuccessful and were subjected to a surgical reduction. Conclusions: Nonsurgical reduction is safe and effective as the initial treatment of uncomplicated intussusception in children