Clinical analysis of 23 cases with adult intussusception
10.3760/cma.j.issn.1673-4203.2018.04.011
- VernacularTitle:成人肠套叠23例诊疗分析
- Author:
Kekang SUN
1
;
Xiaojun SHEN
Author Information
1. 215300,昆山市第一人民医院江苏大学附属昆山医院胃肠外科
- Keywords:
Diagnosis;
Treatment;
Disease attributes;
Adult intussusception;
Etiology
- From:
International Journal of Surgery
2018;45(4):262-265
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the pathogenesis,type,diagnosis and surgical methods of adult intussusception.Methods The clinical presentation,diagnosis and therapeutic management of 23 patients admitted with the diagnosis of intussusception in Kunshan First People's Hospital Affiliated to Jiangsu University from January 2014 to March 2017 were reviewed retrospectively.Results For all patients,Symptom included paroxysmal bellyache (22/23),abdominal mass (7/23),nausea and vomit (2/23).Twenty one patients received operation,and all discharged from hospital.Malignant neoplasm,benign tumor,diverticulum,inflammation and fecal stone were main cause for intussusception.Conclusion Most of adult intussusceptions are secondary lesions,with complex pathologic condition and non-specific symptoms.CT scanning has been proved to be the most useful diagnostic radiologic method.Surgery is the main treatment of adult intussusception.As for patients recevied conservative treatment and intraoperative exploration with no obvious lesions,endoscopy is necessary postoperative.
