Intussusception Classification And Treatment

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Intussusception

Intussusception


Intussusception Is an invagination or telescoping of a portion of the intestine into another, resulting in obstruction beyond the defect.

Etiology:


Not usually known, may be due to increase motility of intestine.

Possible causes:


Polyps or cysts in the bowel, malrotation, acute enteritis, abdominal, injuries, abdominal surgery, cystic fibrosis, celiac disease.

Altered physiology:


Intestine become curved, sausage-like blood supply is cut off bowel begins to swell hemorrhage may occur and complete obstruction may occur necrosis of involved segment.

Classification:


Iileocecal ( most common ) , colocolic , ileoileo .

Clinical manifestations:

  • ( 4-10 months ) is the most common age.
  • Onset is sudden, paroxysmal abdominal pain.
  • Current jelly-like stool, blood and mucus present in stool ( following rectal exam).
  • Vomiting.
  • Abdominal distention.
  • Sausage-like mass was palatable in the abdomen.
  • Dehydration.
  • Fever.
  • Shock.

Diagnostic evaluation:

  • History.
  • General appearance.
  • X-Ray abdomen: reveals staircase pattern.
  • Barium enema: the coil-like appearance of the bowel.

Treatment:

  • Hydrostatic reduction with the barium enema.
  • Surgical reduction, resection if the bowel is gangrenous.

Patient problems:

  • Altered comfort level ( pain ) related to invagination of the bowel.
  • Alteration in fluid and electrolyte balance related to vomiting.
  • Respiratory distress related to abdominal distention.
  • Parental anxiety related to the suddenness of the child’s illness, hospitalization, surgery, the lake of Understanding of the condition.
  • N.G. tube may be inserted to prevent vomiting and aspiration.

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