Nmadu P T
Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Cent Afr J Med. 1992 May;38(5):203-5.
Intussusception in the tropics and sub-tropics had always been regarded as mainly a disease of adults. This paper reports on both a decrease in frequency of the disease in the adult as well as a reduction in the frequency of large bowel involvement. Sixteen adults were treated for intussusception in Ahmadu Bello University Teaching Hospital, Zaria in 10 years. The correct diagnosis was made in one patient prior to operation. Eight intussusceptions were of small intestinal origin and eight were colonic. One patient in the enteric group and three in the colonic group had benign tumours. One colonic tumour was malignant. Eleven intussusceptions were "idiopathic". Four patients in the enteric group had resection; one for neoplasm and three for irreducibility. Four patients in the colonic group had resection, all for neoplasm. Morbidity was minimal and there was no death. A treatment strategy at variance with that advocated in the Western world is suggested.
热带和亚热带地区的肠套叠一直被视为主要是成年人的疾病。本文报告了该疾病在成年人中的发病率下降以及大肠受累频率的降低。在10年里，有16名成年人在扎里亚的阿哈马杜·贝洛大学教学医院接受了肠套叠治疗。术前仅1例患者得到正确诊断。8例肠套叠起源于小肠，8例起源于结肠。小肠组1例患者和结肠组3例患者患有良性肿瘤。1例结肠肿瘤为恶性。11例肠套叠为“特发性”。小肠组4例患者接受了切除术，1例因肿瘤，3例因无法复位。结肠组4例患者接受了切除术，均因肿瘤。发病率极低，无死亡病例。本文提出了一种与西方世界所倡导的治疗策略不同的治疗策略。
