Intussusception in adults: Clinical characteristics, diagnosis and operative strategies

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dc.contributor.authorYakan, Savas
dc.contributor.authorCaliskan, Cemil
dc.contributor.authorMakay, Ozer
dc.contributor.authorDenecli, Ali Galip
dc.contributor.authorKorkut, Mustafa Ali
dc.date.accessioned2019-10-27T20:52:24Z
dc.date.available2019-10-27T20:52:24Z
dc.date.issued2009
dc.departmentEge Üniversitesien_US
dc.description.abstractAIM: To evaluate 20 adults with intussusception and to clarify the cause, clinical features, diagnosis, and management of this uncommon entity. METHODS: A retrospective review of patients aged > 18 years with a diagnosis of intestinal intussusception between 2000 and 2008. Patients with rectal prolapse, prolapse of or around an ostomy and gastroenterostomy intussusception were excluded. RESULTS: There were 20 cases of adult intussusception. Mean age was 47.7 years. Abdominal pain, nausea, and vomiting were the most common symptoms. The majority of intussusceptions were in the small intestine (85%). There were three (15%) cases of colonic intussusception. Enteric intussusception consisted of five jejunojejunal cases, nine ileoileal, and four cases of ileocecal invagination. Among enteric intussusceptions, 14 were secondary to a benign process, and in one of these, the malignant cause was secondary to metastatic lung adenocarcinoma. All colonic lesions were malignant. All cases were treated surgically. CONCLUSION: Adult intussusception is an unusual and challenging condition and is a preoperative diagnostic problem. Treatment usually requires resection of the involved bowel segment. Reduction can be attempted in small-bowel intussusception if the segment involved is viable or malignancy is not suspected; however, a more careful approach is recommended in colonic intussusception because of a significantly higher coexistence of malignancy. (C) 2009 The WJG Press and Baishideng. All rights reserved.en_US
dc.identifier.doi10.3748/wjg.15.1985en_US
dc.identifier.endpage1989en_US
dc.identifier.issn1007-9327
dc.identifier.issn2219-2840
dc.identifier.issue16en_US
dc.identifier.pmid19399931en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1985en_US
dc.identifier.urihttps://doi.org/10.3748/wjg.15.1985
dc.identifier.urihttps://hdl.handle.net/11454/43228
dc.identifier.volume15en_US
dc.identifier.wosWOS:000265619800010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaishideng Publ Grp Co Ltden_US
dc.relation.ispartofWorld Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdulten_US
dc.subjectIntussusceptionen_US
dc.subjectDiagnosisen_US
dc.subjectTherapyen_US
dc.subjectSurgeryen_US
dc.titleIntussusception in adults: Clinical characteristics, diagnosis and operative strategiesen_US
dc.typeArticleen_US

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