Annals of African Medicine
Home About AAM Editorial board Ahead of print Current Issue Archives Instructions Subscribe Contact us Search Login 
ORIGINAL ARTICLE
Year : 2010  |  Volume : 9  |  Issue : 1  |  Page : 27-30

Routine surgical intervention for childhood intussusception in a developing country


1 Department of Pediatric Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria
2 Department of Radiology, University of Nigeria Teaching Hospital, Enugu, Nigeria

Correspondence Address:
Sebastian O Ekenze
Department of Surgery, University of Nigeria Teaching Hospital, Enugu
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1596-3519.62621

Rights and Permissions

Objective/Purpose: We aim to determine the basis for the routine surgical treatment of intussusception in southeast Nigeria. Methods: We analyzed 71 children operated for intussusception between June 1998 and May 2006 at the University of Nigeria Teaching Hospital Enugu, southeastern Nigeria. Results: The median age at presentation was 6 months (range 3 months to 7 years), and the average duration from onset to presentation 3.2 days (range 4 hours to 7 days). Forty-six (64.8%) had ileocolic intussusception, 7 (9.9%) colocolic, and 5 (7.0%) ileoileal. In 31 (43.7%), there was no identifiable cause, while mesenteric lymphadenopathy and inflamed Peyer's patches were noted in 37 (52.1%), and polyp in 3 (4.2%). Manual reduction was successful in 39 (55%), while 32 (45%) required bowel resection for gangrene, or irreducibility. After average follow up of 9.7 months (range 4-22 months) there was no recurrence, but overall mortality was 6 (8.5%) from septicemia. Late presentation, dearth of facilities and trained manpower, and lack of multidisciplinary collaboration may contribute to the regular surgical treatment. Conclusion: Intussusception in our setting is characterized by late presentation, high rate of bowel resection, and high mortality. Surgery may remain our main stay of treatment until deficiencies in time to diagnosis, specialized facilities, and personnel improvement.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2897    
    Printed149    
    Emailed1    
    PDF Downloaded92    
    Comments [Add]    
    Cited by others 6    

Recommend this journal