Intussusception Classification And Treatment
Intussusception Is an invagination or telescoping of a portion of the intestine into another, resulting in obstruction beyond the defect.
Not usually known, may be due to increase motility of intestine.
Polyps or cysts in the bowel, malrotation, acute enteritis, abdominal, injuries, abdominal surgery, cystic fibrosis, celiac disease.
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.
Iileocecal ( most common ) , colocolic , ileoileo .
- ( 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).
- Abdominal distention.
- Sausage-like mass was palatable in the abdomen.
- General appearance.
- X-Ray abdomen: reveals staircase pattern.
- Barium enema: the coil-like appearance of the bowel.
- Hydrostatic reduction with the barium enema.
- Surgical reduction, resection if the bowel is gangrenous.
- 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.