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Intussusception (General Pediatric Surgery of Abdomen)

  • Shabnam ParkarEmail author
  • Amulya K. Saxena
Living reference work entry
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Abstract

Intussusception is one of the most common causes of acute bowel obstruction in children and occurs in 1–4 in 2000 children worldwide. This condition was initially associated with high morbidity and mortality; however, with the advent of better imaging with ultrasound and knowledge in diagnosis, the clinical management has dramatically improved clinical outcomes. Due to the essential knowledge of allowing adequate aggressive fluid resuscitation at presentation, earlier diagnosis, and prompt attempt at reduction, this common condition is being treated more successfully. Non-operative interventions, including ultrasound-guided pneumatic reduction and hydrostatic reduction, have become the mainstay of treatment and have dramatically reduced the need for surgical intervention. In cases where surgery is indicated, laparoscopy provides a useful less invasive technique to treat as well as aid in diagnosis. This once fatal phenomenon is now becoming more easily and successfully managed in pediatric surgical centers around the world.

Keywords

Intussusception Ileocolic Ileoileal Lead point Ultrasound Pneumatic reduction Hydrostatic Peyer’s patches Laparoscopic reduction 

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2020

Authors and Affiliations

  1. 1.Paediatric SurgerySt George’s Hospital NHS Foundation TrustLondonUK
  2. 2.Department of Paediatric SurgeryChelsea Children’s Hospital, Imperial College London, Chelsea and Westminster Hospital NHS Foundation TrustLondonUK

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