Med J Tabriz Uni Med Sciences Health Services. 2004;26(3): 20-23.
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A Study on Diagnostic and Therapeutic Procedures in Infants and Children with Intussusception at Childern Hospital in Tabriz

*Corresponding Author: Email: m.rafeey@yahoo.com


Background and Objectives: Intussusception is one of the most common cause of GI tract obstructions in infants and young children. Delayed diagnosis or treatment of intussusception may lead to death and chance of recovery is related directly to the wasted time before resuscitation . More infants would be recovered if they had been treated within 24 hours. However, the rate of mortality and morbidity would be rapidly increased after this period, especially after the second day. Therefore, the early diagnosis and the treatment are of great importance. Materials and Methods: In this survey, we studied statistically and retrospectively the diagnostic and therapeutic procedures of 50 children under 10 years old, at childern Hospital in Tabriz from 1998 - 2000. Results: The majority of patients were aged 6-12 months (36%), with male preponderance (1.94/1) and 74% of all patients had normal weights. The most common type of intussuseption was ileocolic. In 10% out of cases there was a history of Uiral infection. Abdominal pain 100%, anorexia 78%, and malaise 76% were the most common complaints respectively. There was seen bloody jelly stool in 56% out of the cases. Unfortunately, in 60% of the cases, there was a delay more than 24 hours diagnosis. In 68% of the cases, intussusception reported through radiographic studies. In 44%, of cases intussusception confirmed by sonography and in 64% out of the cases primary and definit diagnosis had concordance. In 33 cases (66%) treatment established through surgery and in 2 cases(4%) replacement was with serum enema under sonography , and in 3 cases(6%) replacement with barium enema under sonography has been done. Mortality occurred in 4 cases (8%) and complication after operation was observed in 4 cases(8%) . Conclusion: Accura te and prompt indentification of infants with intussuseption will enable these patients to be treated earlier with reduced morbidity and mortality.
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Submitted: 28 Jul 2013
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