J Korean Assoc Pediatr Surg.  2003 Jun;9(1):24-29.

Clinical Evaluation of Recurrent Intussusception

Affiliations
  • 1Division of Pediatric Surgery, Department of Surgery, Dankook University College of Medicine, Cheonan, Korea.

Abstract

To evaluate the clinical findings of the recurrent intussusception. 351 patients with 445 intussusceptions were reviewed. Recurrence rate, pattern of recurrence, reducibility, pathologic lead points (PLP), and operative findings and long term follow up of the multiple recurrences were analyzed. Of 351 patients, 303 had no recurrence, 26 had one recurrence, and 22 had multiple recurrences. Over all recurrence rate was 16.4% ; 18.5% were managed by air reduction, 16.2% by barium reduction and 5.9% by operation. Elven PLPs were proved operatively operatively and an additional 6 suspected PLPs were depicted radiologically. The most frequent PLP was ileal lymphoid hyperplasia. Intervals between reduction and recurrence were less than 2 weeks in 31 cases, between 2 weeks and 1 year in 55, and more than 1 year in 8. The longest interval was 2 years and 4 months.

Keyword

Intussusception; Recurrence; Pathologic lead point

MeSH Terms

Barium
Follow-Up Studies
Humans
Hyperplasia
Intussusception*
Recurrence
Barium
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