Department of General Surgery, Ankara University, Ankara, Turkey.
Surg Today. 2009;39(10):861-5. doi: 10.1007/s00595-009-3979-8. Epub 2009 Sep 27.
Intussusception is one of the most common abdominal emergencies in pediatrics, but adult intussusception is an uncommon entity and most surgeons have only limited experience in treating this disease. The purpose of this study was to highlight the differences between pediatric and adult intussusception.
The records of 40 patients during 14 years were reviewed retrospectively. The symptoms, diagnosis, sites of intussusception, associated pathologies, and treatment methods of each patient were analyzed.
A total of 31 pediatric and 9 adult patients were included in the study. In the pediatric group, bloody stool and vomiting were the most common symptoms whereas adult patients commonly presented with abdominal pain. The physical examination was diagnostic in a remarkable proportion of the pediatric patients but the diagnosis was suggested based on imaging techniques in the adults, and preoperative diagnosis was more successful in the pediatric group. Intussusception was more often associated with an underlying pathology in adults and no adult patient underwent nonoperative reduction, whereas pediatric patients were managed either with hydrostatic reduction or surgery.
Although intussusceptions occur at all ages, there are major differences in the clinical presentation, diagnostic approach, and management between pediatric and adult populations. Intussusception is remarkably different in these two age groups and it must be approached from a different clinical perspective.
肠套叠是小儿最常见的腹部急症之一，但成人肠套叠较为少见，大多数外科医生对此类疾病的治疗经验有限。本研究旨在强调小儿肠套叠与成人肠套叠的区别。
回顾性分析了 14 年间收治的 40 例患者的病历。分析了每位患者的症状、诊断、肠套叠部位、相关病变和治疗方法。
本研究共纳入 31 例小儿患者和 9 例成人患者。在小儿组中，血便和呕吐最为常见，而成人患者则常见腹痛。体格检查对小儿患者具有诊断意义，但在成人患者中，诊断基于影像学技术，且术前诊断在小儿组中更成功。成人肠套叠常与潜在病变相关，无成人患者行非手术复位，而小儿患者则采用水压复位或手术治疗。
尽管肠套叠可发生于任何年龄，但小儿和成人患者的临床表现、诊断方法和治疗存在显著差异。这两个年龄组的肠套叠有很大不同，必须从不同的临床角度来处理。
