The diagnosis and management of adult intussusception
While intussusception is relatively common in children, it is a rare clinical entity in adults, where the condition is almost always secondary to a definable lesion. Thirteen cases of intussusception occurring in individuals older than 16 were encountered at our institute between 1981 and 1994. Pres...
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Veröffentlicht in: | The American journal of surgery 1997-02, Vol.173 (2), p.88-94 |
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creator | Begos, Dennis G. Sandor, Andras Modlin, Irvin M. |
description | While intussusception is relatively common in children, it is a rare clinical entity in adults, where the condition is almost always secondary to a definable lesion.
Thirteen cases of intussusception occurring in individuals older than 16 were encountered at our institute between 1981 and 1994.
Presenting signs/symptoms included recurrent bowel obstruction, intermittent pain, and red blood per rectum. Correct preoperative diagnosis was made in six patients using colonoscopy, flexible sigmoidoscopy, upper gastrointestinal (GI) series and computed tomography (CT). At surgery the lead point was identified in the small intestine in eight cases, in the colon in four cases, and one small intestinal intussusception was considered idiopathic. Twelve patients underwent laparotomy and one patient was both diagnosed and treated by colonoscopy alone.
Adult intussusception is an unusual cause of bowel obstruction. The likelihood of neoplasia, particularly in the colon as a cause, is high. Operative management is thus almost always necessary. |
doi_str_mv | 10.1016/S0002-9610(96)00419-9 |
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Thirteen cases of intussusception occurring in individuals older than 16 were encountered at our institute between 1981 and 1994.
Presenting signs/symptoms included recurrent bowel obstruction, intermittent pain, and red blood per rectum. Correct preoperative diagnosis was made in six patients using colonoscopy, flexible sigmoidoscopy, upper gastrointestinal (GI) series and computed tomography (CT). At surgery the lead point was identified in the small intestine in eight cases, in the colon in four cases, and one small intestinal intussusception was considered idiopathic. Twelve patients underwent laparotomy and one patient was both diagnosed and treated by colonoscopy alone.
Adult intussusception is an unusual cause of bowel obstruction. The likelihood of neoplasia, particularly in the colon as a cause, is high. Operative management is thus almost always necessary.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(96)00419-9</identifier><identifier>PMID: 9074370</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biopsy ; Colon ; Colon - diagnostic imaging ; Colonoscopy ; Computed tomography ; Diagnosis ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Intestinal Diseases - complications ; Intestinal Diseases - diagnosis ; Intestinal Neoplasms - complications ; Intestinal Neoplasms - diagnosis ; Intestinal obstruction ; Intestine ; Intestine, Small - diagnostic imaging ; Intussusception ; Intussusception - diagnosis ; Intussusception - etiology ; Intussusception - surgery ; Laparotomy ; Male ; Medical sciences ; Middle Aged ; Other diseases. Semiology ; Patients ; Recurrence ; Sigmoidoscopy ; Small intestine ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Tomography, X-Ray Computed</subject><ispartof>The American journal of surgery, 1997-02, Vol.173 (2), p.88-94</ispartof><rights>1997 Excerpta Medica, Inc.</rights><rights>1997 INIST-CNRS</rights><rights>1997. Excerpta Medica, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c530t-ad5cd62d992e837b23932178b1326f9d9dc086a512228bbd930a6564cbd29dd13</citedby><cites>FETCH-LOGICAL-c530t-ad5cd62d992e837b23932178b1326f9d9dc086a512228bbd930a6564cbd29dd13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2847457362?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,46002,64392,64394,64396,72476</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2620210$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9074370$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Begos, Dennis G.</creatorcontrib><creatorcontrib>Sandor, Andras</creatorcontrib><creatorcontrib>Modlin, Irvin M.</creatorcontrib><title>The diagnosis and management of adult intussusception</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>While intussusception is relatively common in children, it is a rare clinical entity in adults, where the condition is almost always secondary to a definable lesion.
Thirteen cases of intussusception occurring in individuals older than 16 were encountered at our institute between 1981 and 1994.
Presenting signs/symptoms included recurrent bowel obstruction, intermittent pain, and red blood per rectum. Correct preoperative diagnosis was made in six patients using colonoscopy, flexible sigmoidoscopy, upper gastrointestinal (GI) series and computed tomography (CT). At surgery the lead point was identified in the small intestine in eight cases, in the colon in four cases, and one small intestinal intussusception was considered idiopathic. Twelve patients underwent laparotomy and one patient was both diagnosed and treated by colonoscopy alone.
Adult intussusception is an unusual cause of bowel obstruction. The likelihood of neoplasia, particularly in the colon as a cause, is high. Operative management is thus almost always necessary.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Colon</subject><subject>Colon - diagnostic imaging</subject><subject>Colonoscopy</subject><subject>Computed tomography</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Intestinal Diseases - complications</subject><subject>Intestinal Diseases - diagnosis</subject><subject>Intestinal Neoplasms - complications</subject><subject>Intestinal Neoplasms - diagnosis</subject><subject>Intestinal obstruction</subject><subject>Intestine</subject><subject>Intestine, Small - diagnostic imaging</subject><subject>Intussusception</subject><subject>Intussusception - diagnosis</subject><subject>Intussusception - etiology</subject><subject>Intussusception - surgery</subject><subject>Laparotomy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Patients</subject><subject>Recurrence</subject><subject>Sigmoidoscopy</subject><subject>Small intestine</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Intestinal Diseases - complications</topic><topic>Intestinal Diseases - diagnosis</topic><topic>Intestinal Neoplasms - complications</topic><topic>Intestinal Neoplasms - diagnosis</topic><topic>Intestinal obstruction</topic><topic>Intestine</topic><topic>Intestine, Small - diagnostic imaging</topic><topic>Intussusception</topic><topic>Intussusception - diagnosis</topic><topic>Intussusception - etiology</topic><topic>Intussusception - surgery</topic><topic>Laparotomy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Patients</topic><topic>Recurrence</topic><topic>Sigmoidoscopy</topic><topic>Small intestine</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Begos, Dennis G.</creatorcontrib><creatorcontrib>Sandor, Andras</creatorcontrib><creatorcontrib>Modlin, Irvin M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Begos, Dennis G.</au><au>Sandor, Andras</au><au>Modlin, Irvin M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The diagnosis and management of adult intussusception</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1997-02-01</date><risdate>1997</risdate><volume>173</volume><issue>2</issue><spage>88</spage><epage>94</epage><pages>88-94</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>While intussusception is relatively common in children, it is a rare clinical entity in adults, where the condition is almost always secondary to a definable lesion.
Thirteen cases of intussusception occurring in individuals older than 16 were encountered at our institute between 1981 and 1994.
Presenting signs/symptoms included recurrent bowel obstruction, intermittent pain, and red blood per rectum. Correct preoperative diagnosis was made in six patients using colonoscopy, flexible sigmoidoscopy, upper gastrointestinal (GI) series and computed tomography (CT). At surgery the lead point was identified in the small intestine in eight cases, in the colon in four cases, and one small intestinal intussusception was considered idiopathic. Twelve patients underwent laparotomy and one patient was both diagnosed and treated by colonoscopy alone.
Adult intussusception is an unusual cause of bowel obstruction. The likelihood of neoplasia, particularly in the colon as a cause, is high. Operative management is thus almost always necessary.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9074370</pmid><doi>10.1016/S0002-9610(96)00419-9</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Biopsy Colon Colon - diagnostic imaging Colonoscopy Computed tomography Diagnosis Female Gastroenterology. Liver. Pancreas. Abdomen Humans Intestinal Diseases - complications Intestinal Diseases - diagnosis Intestinal Neoplasms - complications Intestinal Neoplasms - diagnosis Intestinal obstruction Intestine Intestine, Small - diagnostic imaging Intussusception Intussusception - diagnosis Intussusception - etiology Intussusception - surgery Laparotomy Male Medical sciences Middle Aged Other diseases. Semiology Patients Recurrence Sigmoidoscopy Small intestine Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tomography, X-Ray Computed |
title | The diagnosis and management of adult intussusception |
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