Intestinal intussusception in adults: location, causes, symptoms, and therapeutic management

Intestinal intussusception in adults: location, causes, symptoms, and therapeutic management

Intestinal intussusception is difficult to diagnose in adults because the symptoms are nonspecific. However, most have structural causes that require surgical treatment. This paper reviews the epidemiologic characteristics, imaging findings, and therapeutic management of intussusception in adults. T...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Radiología (English ed.) 2023-05
Hauptverfasser: González-Carreró Sixto, C, Baleato González, S, García Palacios, J D, Sánchez Bernal, S, Junquera Olay, S, Bravo González, M, García Figueiras, R
Format: Artikel
Sprache:eng ; spa
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue
container_start_page
container_title Radiología (English ed.)
container_volume
creator González-Carreró Sixto, C
Baleato González, S
García Palacios, J D
Sánchez Bernal, S
Junquera Olay, S
Bravo González, M
García Figueiras, R
description Intestinal intussusception is difficult to diagnose in adults because the symptoms are nonspecific. However, most have structural causes that require surgical treatment. This paper reviews the epidemiologic characteristics, imaging findings, and therapeutic management of intussusception in adults. This retrospective study identified patients diagnosed with intestinal intussusception who required admission to our hospital between 2016 and 2020. Of the 73 cases identified, 6 were excluded due to coding errors and 46 were excluded because the patients were aged
doi_str_mv 10.1016/j.rx.2021.06.008
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_2566254377</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2566254377</sourcerecordid><originalsourceid>FETCH-LOGICAL-p211t-bf74ed2f42a705dfeb8c8b0ce1ad3217203e5de05b47ae7f991822a66708bbdf3</originalsourceid><addsrcrecordid>eNo1kM1Lw0AQxRdBbKm9e5I9emjjfmR3U29S_CgUvOhNCLPZiaYkm5jdBfvfG7G-y8wbHgO_R8gVZxlnXN8esvE7E0zwjOmMseKMzAU3cq04MzOyDOHAJmnFCyYvyEzmucoNN3PyvvMRQ2w8tLTxMYWQQoVDbHo_eQoutTHc0bav4Pe2ohWkgGFFw7EbYt9NG3hH4yeOMGCKTUU78PCBHfp4Sc5raAMuT3NB3h4fXrfP6_3L0257v18PgvO4trXJ0Yk6F2CYcjXaoiosq5CDkxOGYBKVQ6ZsbgBNvdnwQgjQ2rDCWlfLBbn5-zuM_VeacMqumSjaFjz2KZRCaS1ULo2ZotenaLIdunIYmw7GY_nfiPwBOnhj6w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2566254377</pqid></control><display><type>article</type><title>Intestinal intussusception in adults: location, causes, symptoms, and therapeutic management</title><source>Alma/SFX Local Collection</source><creator>González-Carreró Sixto, C ; Baleato González, S ; García Palacios, J D ; Sánchez Bernal, S ; Junquera Olay, S ; Bravo González, M ; García Figueiras, R</creator><creatorcontrib>González-Carreró Sixto, C ; Baleato González, S ; García Palacios, J D ; Sánchez Bernal, S ; Junquera Olay, S ; Bravo González, M ; García Figueiras, R</creatorcontrib><description>Intestinal intussusception is difficult to diagnose in adults because the symptoms are nonspecific. However, most have structural causes that require surgical treatment. This paper reviews the epidemiologic characteristics, imaging findings, and therapeutic management of intussusception in adults. This retrospective study identified patients diagnosed with intestinal intussusception who required admission to our hospital between 2016 and 2020. Of the 73 cases identified, 6 were excluded due to coding errors and 46 were excluded because the patients were aged&lt;16 years. Thus, 21 cases in adults (mean age, 57 y) were analyzed. The most common clinical manifestation was abdominal pain, reported in 8 (38%) cases. In CT studies, the target sign yielded 100% sensitivity. The most common site of intussusception was the ileocecal region, reported in 8 (38%) patients. A structural cause was identified in 18 (85.7%) patients, and 17 (81%) patients required surgery. The pathology findings were concordant with the CT findings in 94.1% of cases; tumors were the most frequent cause (6 (35.3%) benign and 9 (64.7%) malignant). CT is the first-choice test for the diagnosis of intussusception and plays a crucial role in determining its etiology and therapeutic management.</description><identifier>EISSN: 2173-5107</identifier><identifier>DOI: 10.1016/j.rx.2021.06.008</identifier><identifier>PMID: 34454717</identifier><language>eng ; spa</language><publisher>Spain</publisher><ispartof>Radiología (English ed.), 2023-05</ispartof><rights>Copyright © 2021 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34454717$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>González-Carreró Sixto, C</creatorcontrib><creatorcontrib>Baleato González, S</creatorcontrib><creatorcontrib>García Palacios, J D</creatorcontrib><creatorcontrib>Sánchez Bernal, S</creatorcontrib><creatorcontrib>Junquera Olay, S</creatorcontrib><creatorcontrib>Bravo González, M</creatorcontrib><creatorcontrib>García Figueiras, R</creatorcontrib><title>Intestinal intussusception in adults: location, causes, symptoms, and therapeutic management</title><title>Radiología (English ed.)</title><addtitle>Radiologia (Engl Ed)</addtitle><description>Intestinal intussusception is difficult to diagnose in adults because the symptoms are nonspecific. However, most have structural causes that require surgical treatment. This paper reviews the epidemiologic characteristics, imaging findings, and therapeutic management of intussusception in adults. This retrospective study identified patients diagnosed with intestinal intussusception who required admission to our hospital between 2016 and 2020. Of the 73 cases identified, 6 were excluded due to coding errors and 46 were excluded because the patients were aged&lt;16 years. Thus, 21 cases in adults (mean age, 57 y) were analyzed. The most common clinical manifestation was abdominal pain, reported in 8 (38%) cases. In CT studies, the target sign yielded 100% sensitivity. The most common site of intussusception was the ileocecal region, reported in 8 (38%) patients. A structural cause was identified in 18 (85.7%) patients, and 17 (81%) patients required surgery. The pathology findings were concordant with the CT findings in 94.1% of cases; tumors were the most frequent cause (6 (35.3%) benign and 9 (64.7%) malignant). CT is the first-choice test for the diagnosis of intussusception and plays a crucial role in determining its etiology and therapeutic management.</description><issn>2173-5107</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNo1kM1Lw0AQxRdBbKm9e5I9emjjfmR3U29S_CgUvOhNCLPZiaYkm5jdBfvfG7G-y8wbHgO_R8gVZxlnXN8esvE7E0zwjOmMseKMzAU3cq04MzOyDOHAJmnFCyYvyEzmucoNN3PyvvMRQ2w8tLTxMYWQQoVDbHo_eQoutTHc0bav4Pe2ohWkgGFFw7EbYt9NG3hH4yeOMGCKTUU78PCBHfp4Sc5raAMuT3NB3h4fXrfP6_3L0257v18PgvO4trXJ0Yk6F2CYcjXaoiosq5CDkxOGYBKVQ6ZsbgBNvdnwQgjQ2rDCWlfLBbn5-zuM_VeacMqumSjaFjz2KZRCaS1ULo2ZotenaLIdunIYmw7GY_nfiPwBOnhj6w</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>González-Carreró Sixto, C</creator><creator>Baleato González, S</creator><creator>García Palacios, J D</creator><creator>Sánchez Bernal, S</creator><creator>Junquera Olay, S</creator><creator>Bravo González, M</creator><creator>García Figueiras, R</creator><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20230501</creationdate><title>Intestinal intussusception in adults: location, causes, symptoms, and therapeutic management</title><author>González-Carreró Sixto, C ; Baleato González, S ; García Palacios, J D ; Sánchez Bernal, S ; Junquera Olay, S ; Bravo González, M ; García Figueiras, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-bf74ed2f42a705dfeb8c8b0ce1ad3217203e5de05b47ae7f991822a66708bbdf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>González-Carreró Sixto, C</creatorcontrib><creatorcontrib>Baleato González, S</creatorcontrib><creatorcontrib>García Palacios, J D</creatorcontrib><creatorcontrib>Sánchez Bernal, S</creatorcontrib><creatorcontrib>Junquera Olay, S</creatorcontrib><creatorcontrib>Bravo González, M</creatorcontrib><creatorcontrib>García Figueiras, R</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Radiología (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>González-Carreró Sixto, C</au><au>Baleato González, S</au><au>García Palacios, J D</au><au>Sánchez Bernal, S</au><au>Junquera Olay, S</au><au>Bravo González, M</au><au>García Figueiras, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intestinal intussusception in adults: location, causes, symptoms, and therapeutic management</atitle><jtitle>Radiología (English ed.)</jtitle><addtitle>Radiologia (Engl Ed)</addtitle><date>2023-05-01</date><risdate>2023</risdate><eissn>2173-5107</eissn><abstract>Intestinal intussusception is difficult to diagnose in adults because the symptoms are nonspecific. However, most have structural causes that require surgical treatment. This paper reviews the epidemiologic characteristics, imaging findings, and therapeutic management of intussusception in adults. This retrospective study identified patients diagnosed with intestinal intussusception who required admission to our hospital between 2016 and 2020. Of the 73 cases identified, 6 were excluded due to coding errors and 46 were excluded because the patients were aged&lt;16 years. Thus, 21 cases in adults (mean age, 57 y) were analyzed. The most common clinical manifestation was abdominal pain, reported in 8 (38%) cases. In CT studies, the target sign yielded 100% sensitivity. The most common site of intussusception was the ileocecal region, reported in 8 (38%) patients. A structural cause was identified in 18 (85.7%) patients, and 17 (81%) patients required surgery. The pathology findings were concordant with the CT findings in 94.1% of cases; tumors were the most frequent cause (6 (35.3%) benign and 9 (64.7%) malignant). CT is the first-choice test for the diagnosis of intussusception and plays a crucial role in determining its etiology and therapeutic management.</abstract><cop>Spain</cop><pmid>34454717</pmid><doi>10.1016/j.rx.2021.06.008</doi></addata></record>
fulltext fulltext
identifier EISSN: 2173-5107
ispartof Radiología (English ed.), 2023-05
issn 2173-5107
language eng ; spa
recordid cdi_proquest_miscellaneous_2566254377
source Alma/SFX Local Collection
title Intestinal intussusception in adults: location, causes, symptoms, and therapeutic management
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T23%3A02%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Intestinal%20intussusception%20in%20adults:%20location,%20causes,%20symptoms,%20and%20therapeutic%20management&rft.jtitle=Radiolog%C3%ADa%20(English%20ed.)&rft.au=Gonz%C3%A1lez-Carrer%C3%B3%20Sixto,%20C&rft.date=2023-05-01&rft.eissn=2173-5107&rft_id=info:doi/10.1016/j.rx.2021.06.008&rft_dat=%3Cproquest_pubme%3E2566254377%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2566254377&rft_id=info:pmid/34454717&rfr_iscdi=true