Publication: Childhood Intussusception: A Prospective Institutional Study at BPKIHS
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Date
2011
Article Type
Original Article
Journal Title
Journal ISSN
ISSN 1990-7974 eISSN 1990-7982
Volume Title
Pages
Pages: 6 - 10
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Introduction: Intussusception is the commonest cause of bowel obstruction in infancy and childhood. The present study deals with the presentation, management and outcome of children presenting with intussusception at the Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Materials and Methods: Forty-seven children presenting at Department of Surgery, B. P. Koirala Institute of Health Sciences over a 5-year period were prospectively studied.
Results: There were 27 (58.6%) males and 20 (41.4%) females, with male-to-female ratio of 1.4:1. The ages ranged from 2 months to 13 years, with a median age of 30 months. The mean duration of presentation was 10.7 ± 30.66 days (range 1-180 days). The triad of abdominal pain, bloody mucoid stools and palpable abdominal mass was seen in 10 (21%) of the cases. Surgical exploration was done in 42 (89.3%) patients. The commonest lead point was non-specific hyperplastic lymph nodes, occurring in 22 (54.3%), followed by idiopathic variety (16.6%), Meckel's diverticulum (9.5%), ileocaecal junction (7.1%), submucous lipoma (4.7%), Non- Hodgkin's lymphoma (4.7%), appendix (2.3%) and a mucosal polyp (2.3%). Overall mortality rate was 6.3%.
Conclusion: The presenting age group and the time of presentation are higher than other studies. The mortality rate of 6.3% is comparable to other studies in the developing world. Earlier presentation could have avoided surgery, with a higher possibility of cases being managed conservatively.
Description
VC Shakya
Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
CS Agrawal
Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
AK Sinha
Department of Pathology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
NK Bhatta
Department of Pediatrics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
S Khaniya
Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
S Adhikary
Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
Keywords
Delayed diagnosis, intussusception, lead point
Identifier
https://doi.org/10.3126/jnps.v31i1.3862