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Archivos de Pediatría del Uruguay

versión On-line ISSN 1688-1249


APEZTEGUIA, Lucía et al. Invaginación intestinal: Aspectos epidemiológicos y clínicos. Centro Hospitalario Pereira Rossell 2006-2010. Arch. Pediatr. Urug. [online]. 2014, vol.85, n.2, pp.68-73. ISSN 1688-1249.

Introduction: intussusception is the most common cause of bowel obstruction in young children. Its diagnosis requires high level of suspicion. The primary treatment is image guided reduction with a high success rate. Objective: to describe the clinical characteristics, treatment and evolution of all children with intussuception admitted to the Pediatric Surgery Service of the Hospital Pereira Rossell from 2006 to 2010. Methods: all children with intussuception admited between 1/1/2006 and 31/12/2010 were included. The items registered were: age, sex, provenance, clinical manifestations, diagnostic methods, treatment and evolution (complications, admission to intensive care unit, duration of hospitalization). Data was analysed with Epi Info 2008 3.5.1. Results: 64 intussuception cases were registered, 85,9% of them younger than 2 years. Abdominal pain, vomiting and enterorrhagia occured in 50% of the cases. Attempt of image guided reduction was made in 76%; with a success rate of 61%. Surgical reduction was made in 34 pacientes (53%), 19 of them as a result of nonsurgical reduction failure. Duration of hospitalization, admission to intensive care unit and duration of hospitalization were significantly higher in children who receive surgical treatment. Conclusions: in this series, the clinical and epidemiological features of intussusception are consistent with reports in the literature. Despite progress in the indication of image-guided reduction process, it is necessary to continue decreasing the proportion of surgical interventions. This will further reduce the morbidity associated with this disease.

Palabras clave : INTUSSUSCEPTION.

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