Acta
Medica Medianae
Vol. 42
Number 4, Oktobar, 2003
UDK 61
YU ISSN 0365-4478
Kontakt:
Zoran
Marjanovic
Klinika za dečiju hirurgiju i ortopediju Kliničkog centra
Brace Taskovic 48, 18000 Niš, Srbija i Crna Gora
Tel.: 018/532-098
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INTUSSUSCEPTION AS A PROBLEM OF
INTESTINAL OCCLUSION IN CHILDHOOD
Zoran Marjanović, Marijana Krstić, Stevan Jovčić,
Ana Kostić i Dejan Zdravković*
Klinika za dečiju
hirurgiju i ortopediju Kliničkog centra u Nišu
Institut za anatomiju Medicinskog fakulteta u Nišu*
Intussusception is the commonest cause
of intestinal occlusion in children in the first year of their lives. It
is seen in two or four children in one thousand births (2-4%o), being
more common for boys than for girls (3:2) with characteristic triad of
symptoms: intermittent painful crises, vomiting and stool with traces of
blood (as "currant jelly").
The analysis encompassed 217 invaginations treated surgically in period
of 28 years (1976-2002). In the first year 176 cases have been observed
(73.3%), while less than a quarter (41) was older than one year.
Most of the children were between 6 and 8 months old, which was
explained by weaning process and transfer to varied nutrition, which
influenced the increased intestinal peristalsis. The average time before
admission to hospital was 12-14 h, which is considered negative because
of the existence of classical clinical manifestations and symptoms.
Rentgenogram is used for confirmation of the diagnosis in preoperative
period. The commonest site was in ileocecal region (75%). Manual
reduction - disinvagination was performed in 90% of cases, while
intestinal resection was performed in 9 cases. Acta Medica Medianae
2003.42 (4):49-53.
Key words: intussusception, clinical signs, localization, surgery |