Colonoscopy-Assisted Resolving of Intussusception in Children, a Report of 15 Cases

Document Type : Case Report

Authors

1 Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran

2 Faculty of Allied Medical Sciences, Zabol University of Medical Sciences, Zabol, Iran

3 Department of radiology, Faculty of Medicine, Zabol University of Medical Sciences, Zabol, Iran

Abstract

There are few reports on the therapeutic role of colonoscopy in correcting intussusception of childhood. In the present report, 15 children (14 boys and 1 girl) presented with acute intussusception and successfully treated by colonoscopy were presented. The patients were referred to the gastroenterology clinic of Ami-Al-Momenin Hospital, Zabol, Iran from 2015 to 2018. The mean age of the patients was 36.6±28.7 months. After stablishing the diagnosis, they underwent colonoscopic reduction of intussusception by an experienced gastroenterologist. Following 24 hours of the procedure, follow up sonography was performed. Overall, 6 recurrences were identified in 4 (26.7%) patients which were managed by a second colonoscopy. A second recurrence was detected in two patients who finally underwent surgical reduction. Regarding the role of colonoscopy in providing a visual and real-time setting, this can be used as either a primary option or an alternative to radiologic and surgical procedures of intussusception reduction in children.

Keywords

References

1.            Simon NM, Joseph J, Philip RR, Sukumaran TU, Philip R. Intussusception: Single Center Experience of 10 Years. Indian Pediatr 2019;56(1):29-32.
2.            Liu N, Yen C, Huang T, Cui P, Tate JE, Jiang B, et al. Incidence and epidemiology of intussusception among children under 2years of age in Chenzhou and Kaifeng, China, 2009-2013. Vaccine 2018;36(51):7862-7.
3.            Yu M, Fang Z, Shen J, Zhu X, Wang D, Shi Y. Double simultaneous intussusception caused by Meckel's diverticulum and intestinal duplication in a child. J Int Med Res 2018;46(8):3427-34.
4.            Fiegel H, Gfroerer S, Rolle U. Systematic review shows that pathological lead points are important and frequent in intussusception and are not limited to infants. Acta Paediatr 2016;105(11):1275-9.
5.            Gluckman S, Karpelowsky J, Webster AC, McGee RG. Management for intussusception in children. Cochrane Database Syst Rev 2017;6:Cd006476.
6.            Waseem M, Rosenberg HK. Intussusception. Pediatric emergency care 2008;24(11):793-800.
7.            Edwards EA, Pigg N, Courtier J, Zapala MA, MacKenzie JD, Phelps AS. Intussusception: past, present and future. Pediatr Radiol 2017;47(9):1101-8.
8.            Ugwu B, Legbo J, Dakum N, Yiltok S, Mbah N, Uba F. Childhood intussusception: a 9-year review. Annals of tropical paediatrics 2000;20(2):131-5.
9.            Blanch AJ, Perel SB, Acworth JP. Paediatric intussusception: epidemiology and outcome. Emergency Medicine Australasia 2007;19(1):45-50.
10.          Reijnen J, Festen C, Joosten H, WIERINGEN Pv. Atypical characteristics of a group of children with intussusception. Acta Pædiatrica 1990;79(6‐7):675-9.
11.          Wang N, Cui XY, Liu Y, Long J, Xu YH, Guo RX, et al. Adult intussusception: a retrospective review of 41 cases. World J Gastroenterol 2009;15(26):3303-8.
12.          Lai WP, Yang YJ, Cheng CN, Chen JS. Clinico-pathological features of intussusception in children beyond five years old. Acta Paediatr Taiwan 2007;48(5):267-71.
13.          Ishikawa E, Kudo M, Minami Y, Ueshima K, Kitai S, Ueda K. Cecal intussusception in an adult with Cronkhite-Canada syndrome relieved by colonoscopy. Intern Med 2010;49(12):1123-6.
14.          Tafner E TP, Mittledorf C, Pinhata J, Silva AL, Pilli S, da Silva JG, Hassegawa RT, Maruta L, Christiano C, Andrada L. Potential of colonoscopy as a treatment for intussusception in children. Endoscopy international open 2017;5(11):E1116-8.
15.          Ondhia MN, Al-Mutawa Y, Harave S, Losty PD. Intussusception: A 14-year experience at a UK tertiary referral centre. J Pediatr Surg 2019.
16.          Hutchinson J. A Successful Case of Abdominal Section for Intussusception, with Remarks on this and other Methods of Treatment. Medico-chirurgical transactions 1874;57:31.
17.          Hipsley P. Intussusception and its treatment by hydrostatic pressure: based on an analysis of one hundred consecutive cases so treated. Medical Journal of Australia 1926;2(7):201-6.
18.          Yamada M, Yamada K, Fujinami H. Colonoscopic reduction of colo-colic intussusception in an adult with immunoglobulin A vasculitis (Henoch-Schonlein purpura). Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society 2016;28(1):101.
19.          Hsu WH, Lu CY, Hu HM. Sigmoid colon cancer with intussusception reduced by colonoscopy. Gastrointest Endosc 2015;82(4):753.
20.          Bhandarwar AH, Tayade MB, Kori CG, Borisa AD, Sameer V. Caeco-colic intussusception in an adult: a rare case report. Updates Surg 2012;64(4):319-22.

Files

Share

How to cite

Statistics